Individual
WILLA LILLY BRINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
140 AVENIDA ALGODON, SAN CLEMENTE, CA 92672-4182
(949) 366-0432
(888) 508-3372
Mailing address
140 AVE ALGODON, SAN CLEMENTE, CA 92672-4182
(949) 366-0432
(888) 508-3372
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A4676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0825421
NONE
CA
Enumeration date
09/22/2008
Last updated
09/22/2008
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