Individual
BREEANA MARIE SAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PINE AVE STE 400, LONG BEACH, CA 90802-3039
(562) 480-0333
Mailing address
200 PINE AVE STE 400, LONG BEACH, CA 90802-3039
(562) 480-0333
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
04/22/2024
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