Individual
MS. BRENDA ADRIANA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 N RAYMOND AVE, STE 200, ANAHEIM, CA 92801-1120
(714) 966-8650
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717M00000X
—
CA
Enumeration date
12/26/2017
Last updated
02/21/2019
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