Individual
BRANDON C WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N NORMA ST, 133, RIDGECREST, CA 93555-2575
(760) 499-7406
Mailing address
1400 N NORMA ST, 133, RIDGECREST, CA 93555-2575
(760) 499-7406
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN185162
CA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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