Individual
BRENDA SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 360-9313
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5705
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
650245
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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