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Individual

BRANNON HALIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
173 PLAZA DR STE 1009, VALLEJO, CA 94591-3708
(707) 917-4053
Mailing address
1015 VICTORIA PARK, HERCULES, CA 94547-2637
(805) 551-5069

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35070
CA

Other

Enumeration date
11/12/2021
Last updated
01/27/2022
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