Individual
BRENDA LEE KORANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
10300 SOUTHRIDGE DR, ALTA LOMA, CA 91737-3055
(909) 816-3950
Mailing address
10300 SOUTHRIDGE DR, ALTA LOMA, CA 91737-3055
(909) 816-3950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
457256
CA
171400000X
Health & Wellness Coach
—
—
363L00000X
Nurse Practitioner
14385
CA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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