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Individual
DR. YOLANDA BASOCO BRISCOE
Active
Individual
DR. YOLANDA BASOCO BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0920
NM
103T00000X
Psychologist
Primary
PSY19649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4753852
—
NM
Enumeration date
09/26/2006
Last updated
08/10/2022
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