Individual
BRENDAN OKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7701 NUT GROVE AVE, CORONA, CA 92880-3218
(951) 738-8992
Mailing address
7701 NUT GROVE AVE, CORONA, CA 92880-3218
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN224072
CA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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