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Individual

BRANDON TYLER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
163W00000X
Registered Nurse
Primary
RN95307372
CA
376K00000X
Nurse's Aide
60729253
WA

Other

Enumeration date
06/22/2017
Last updated
01/11/2023
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