Individual
BREANA VITELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1263 HOLLYHOCK ST, LIVERMORE, CA 94551-1405
(661) 496-6132
Mailing address
1263 HOLLYHOCK ST, LIVERMORE, CA 94551-1405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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