BRIAN JAMES COONS

GARDEN GROVE, CA
NPI1740945971
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
BRIAN JAMES COONS
12092 BLACKMER ST
GARDEN GROVE, CA 92845-1509
Phone number: 949-307-6887
Mailing Address
BRIAN JAMES COONS
12092 BLACKMER ST
GARDEN GROVE, CA 92845-1509
Phone number: 949-307-6887