Individual
MISS BRIANNE ENEGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5725 RALSTON ST STE 101, VENTURA, CA 93003-6053
(805) 658-2273
Mailing address
13775 SWIFT RUN ST, MOORPARK, CA 93021-1282
(805) 558-8585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21229
CA
363AM0700X
Medical Physician Assistant
Primary
PA21229
CA
Other
Enumeration date
11/22/2010
Last updated
03/03/2026
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