BRIAN JOANEM GORDILLO

SACRAMENTO, CA
NPI1336846161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  63698)
Enumeration Date2023-02-13
Last Update Date2024-04-24
Business Address
BRIAN JOANEM GORDILLO
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 916-734-2145
Mailing Address
BRIAN JOANEM GORDILLO
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: