Individual
MR. BRANDON LEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. DEGREE
Contact information
Practice address
9207 MAMMATH PEAK CIR, STOCKTON, CA 95212-3212
(209) 623-7456
(209) 594-1872
Mailing address
9207 MAMMATH PEAK CIR, STOCKTON, CA 95212-3212
(209) 623-7456
(209) 594-1872
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397002695
CA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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