Individual
KAILA ALEXANDRA SPAFFORD BRERETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
1358 17TH AVE, SAN FRANCISCO, CA 94122-1939
(925) 984-3688
Mailing address
1358 17TH AVE, SAN FRANCISCO, CA 94122-1939
(925) 984-3688
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95009708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009708
NPF
CA
Enumeration date
08/26/2018
Last updated
08/26/2018
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