RANDY BROCKMAN

REDWOOD CITY, CA
NPI1710400916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
Mr. RANDY BROCKMAN CAADE 1711108
609 PRICE AVE
REDWOOD CITY, CA 94063-1463
Phone number: 650-591-9623
Mailing Address
Mr. RANDY BROCKMAN CAADE 1711108
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number:
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