Individual
BIANCA BRAVO QUINAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(408) 379-3790
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/13/2023
Last updated
03/18/2026
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