MEDICARE: BRANDON LEE SEAMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	177461	CA

General Provider Information

NPI Number	:	1588136824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON LEE SEAMAN

Provider Business Mailing Address
First Line	:	1929 RAPID WATER WAY
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-8231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1929 RAPID WATER WAY
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-8231
Country	:	US
Telephone Number	:	530-674-5529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2018
Last Update Date	:	12/27/2018

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Directions to “ BRANDON LEE SEAMAN ” Practice Location

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