Individual
BRIAN NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1794
(831) 462-7752
Mailing address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53020
CA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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