Individual
MS. LAURIE JEAN BRUMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN, RN
Contact information
Practice address
1050 PERALTA ST, GUADALUPE, CA 93434-1418
(805) 343-2411
(805) 343-2512
Mailing address
PO BOX 788, GUADALUPE, CA 93434-0788
(805) 343-2411
(805) 343-6155
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
544861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544861
CA BOARD OF REGISTERED NURSES
CA
Enumeration date
04/15/2019
Last updated
04/15/2019
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