Individual
BRANDON JONATHAN GIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37027
CA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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