MR. Stan A Brusa

NPI #1972899508 in Salinas, California

Provider Information

NPI Number: 1972899508
Entity Type: Individual
Name: MR. Stan A Brusa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 1441 CONSTITUTION BLVD BLDG 400
City: Salinas
State: California
ZIP Code: 93906-3100
Phone: (831) 796-1678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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