Individual
MISS BREANNA DONATIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W 7TH ST, SAN PEDRO, CA 90731-3116
(310) 832-5361
Mailing address
28129 PEACOCK RIDGE DR APT 214, RANCHO PALOS VERDES, CA 90275-3441
(310) 757-9399
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
34010
CA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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