Individual
BRANDON JAY BACCAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 W MARCH LN STE 310E, STOCKTON, CA 95219-6500
(209) 472-0800
Mailing address
3031 W MARCH LN STE 310E, STOCKTON, CA 95219-6500
(209) 472-0800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E6044
CA
Other
Enumeration date
01/07/2020
Last updated
08/19/2024
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