Individual
BRANDY ITIYAH SUZAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 BUENA CREEK RD, SAN MARCOS, CA 92069-9679
(760) 754-5500
Mailing address
325 BUENA CREEK RD, SAN MARCOS, CA 92069-9679
(760) 475-5500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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