Individual
BRANDEE LYNN WAITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 Y ST, SUITE 3850, SACRAMENTO, CA 95817-2307
(916) 734-5291
(916) 734-7838
Mailing address
4860 Y ST, SUITE 3850, SACRAMENTO, CA 95817-2307
(916) 734-5291
(916) 734-7838
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A79238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A79238
—
CA
Enumeration date
01/04/2006
Last updated
07/08/2007
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