Individual
BRANDON MICHAEL DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
(805) 485-3025
Mailing address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
(805) 485-3025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95015271
CA
363LG0600X
Gerontology Nurse Practitioner
NP95015271
CA
Other
Enumeration date
09/13/2020
Last updated
02/26/2021
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