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Organization
REIGNITE BRILLIANCE, LLC
Active
Organization
REIGNITE BRILLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE GILMORE (OWNER)
(858) 882-7872
Entity
Organization
Contact information
Practice address
5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117-6920
(858) 882-7872
Mailing address
PO BOX 17369, SAN DIEGO, CA 92177-7369
(858) 882-7872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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