Individual
BRENDA KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37594 HOUSTON ST, LUCERNE VALLEY, CA 92356-7983
(760) 265-0971
Mailing address
37594 HOUSTON ST, LUCERNE VALLEY, CA 92356-7983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
456944
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
456944
CA
Other
Enumeration date
10/07/2016
Last updated
07/05/2022
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