Individual
BRIAN A PONGRACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
2624 EDITH AVE, REDDING, CA 96001-3043
(530) 806-1190
(530) 229-7946
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012250
CA
Other
Enumeration date
04/16/2010
Last updated
08/22/2023
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