Individual
BRENDA BRAVO-VALIENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 BALDWIN AVE, PONTIAC, MI 48340-2708
(248) 333-7057
Mailing address
1186 BALDWIN AVE, PONTIAC, MI 48340-2708
(248) 333-7057
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
5303022019
MI
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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