Brandon Lee Hiro Putra is a student in an organized health care education training program in Eastvale, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brandon Lee Hiro Putra NPI is 1215688270. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6675 ROSEBAY CT
EASTVALE, CA
ZIP 92880-147
Phone: (909) 263-0296
The enumeration date for this NPI number is 1/11/2022 and was last updated on 1/11/2022.