Individual
BRYAN ALEJANDRO CORNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8345
Mailing address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 387-7194
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
06/02/2025
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