NPI 1497915631
Marilyn Joyce Brandon
Practice location
- Address
- 1617 Stone Canyon Dr, Roseville, CA 95661-4041
- Phone
- (916) 397-0584
- Fax
- (916) 783-0415
- Mailing address
- 1617 Stone Canyon Dr P. O. Box 26, Roseville, CA 95661-4041
Registered specialties
Driver
Primary
Registry record
- NPI
- 1497915631
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2008
- Record last updated
- 11 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.