Individual
BRANDON NAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4318 SPYRES WAY, MODESTO, CA 95356-9259
(209) 576-0710
(209) 576-7283
Mailing address
4318 SPYRES WAY, MODESTO, CA 95356-9259
(209) 576-0710
(209) 576-7283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36432
CA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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