Individual
MRS. VANILLA P. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
Mailing address
250 TAHOE ST, PERRIS, CA 92571-2795
(310) 831-2490
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
314197
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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