Individual
BREENA NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 ARROW ROUTE, BUILDING 5, SUITE A, RANCHO CUCAMONGA, CA 91730
(909) 948-5747
(909) 948-5746
Mailing address
1766 N CEDAR GLEN DR APT A, ANAHEIM, CA 92807-1334
(714) 865-6095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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