Individual
BRANDON T MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 N INGRAM AVE, FRESNO, CA 93711-6281
(559) 472-7546
Mailing address
273 MERIDIAN AVE, MADERA, CA 93636-8390
(559) 269-4241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95030762
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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