Organization
BRIGHTON VENTURES
Active
Organization
BRIGHTON VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRENALYN DOMINGO NP (PARTNER)
(909) 709-7941
Entity
Organization
Contact information
Practice address
1280 E COOLEY DR, COLTON, CA 92324-3932
(909) 953-6713
(909) 825-8842
Mailing address
23070 SISKIN CT, GRAND TERRACE, CA 92313-5338
(909) 825-8842
(909) 825-8842
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
NP13242
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
GRAND TERRACE 24104
CA
Other
Enumeration date
09/11/2007
Last updated
10/14/2007
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