Individual
BRYAN JOSEPH MAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N NORMA ST STE 133, RIDGECREST, CA 93555-2577
(760) 499-7406
Mailing address
1400 N NORMA ST STE 133, RIDGECREST, CA 93555-2577
(760) 499-7406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
10/06/2023
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