Individual
BRYAN LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
9329 VINTNER CIR, PATTERSON, CA 95363-8901
(925) 784-6180
Mailing address
9329 VINTNER CIR, PATTERSON, CA 95363-8901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
09308
OR
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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