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Individual

BRYCE FERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(916) 300-1682
Mailing address
1120 5TH ST, MANHATTAN BEACH, CA 90266-6004

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
10/26/2017
Last updated
10/26/2017
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