Individual
BRIEANA ANEECE WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
714237
CA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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