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Individual

MR. BRANDON V HWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8363 ALEXIA CT, ELK GROVE, CA 95624-4065
(916) 479-6623
Mailing address
8363 ALEXIA CT, ELK GROVE, CA 95624-4065
(916) 479-6623

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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