BRANDON ANTONISSEN

ALISO VIEJO, CA
NPI1063991354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: CA  34287)
Enumeration Date2018-08-08
Last Update Date2019-07-26
Business Address
Dr. BRANDON ANTONISSEN DC
5 JOURNEY STE 100
ALISO VIEJO, CA 92656-5330
Phone number: 949-228-1147
Mailing Address
Dr. BRANDON ANTONISSEN DC
1968 S COAST HWY STE 1073
LAGUNA BEACH, CA 92651-3681
Phone number: 949-228-1147
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