Individual
BRANDON JEROD PEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL RECORDS SPEC
Contact information
Practice address
10717 CAMINO RUIZ, SAN DIEGO, CA 92126-2360
(858) 695-2211
Mailing address
10717 CAMINO RUIZ, SAN DIEGO, CA 92126-2360
(858) 695-2211
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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