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Individual

BRANDON YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
3401 FARENHOLT AVE BUILDING 14, SAN DIEGO, CA 92134-0001
(619) 532-7936
Mailing address
3401 FARENHOLT AVE BUILDING 14, SAN DIEGO, CA 92134-0001
(619) 532-7936

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
CA

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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