Individual
MR. BRANDON P URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
160 S SEVENTH AVE, LA PUENTE, CA 91773
(626) 961-8971
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
(626) 961-6685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
836890
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95001944
CA
Other
Enumeration date
08/15/2013
Last updated
08/31/2021
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