BRANDON M BERRY

SAN DIEGO, CA
NPI1689935850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2012-06-05
Last Update Date2012-06-05
Business Address
BRANDON M BERRY IDC
11123 PEGASUS AVE
SAN DIEGO, CA 92126-4717
Phone number: 714-403-3604
Mailing Address
BRANDON M BERRY IDC
11123 PEGASUS AVE
SAN DIEGO, CA 92126-4717
Phone number: 714-403-3604
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