Individual
BRANDON EARL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SF IDC
Contact information
Practice address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-7000
(831) 359-1749
Mailing address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-4316
(805) 982-4471
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
07/19/2024
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