Individual
BRANDON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3502 MARKLEY CREEK DR, ANTIOCH, CA 94509-6287
(925) 301-6090
Mailing address
3502 MARKLEY CREEK DR, ANTIOCH, CA 94509-6287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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