Individual
MS. BRENDA C. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
770 MAGNOLIA AVE, SUITE 2A, CORONA, CA 92879-3120
(951) 736-8811
Mailing address
3333 VALLEJO ST, RIVERSIDE, CA 92503-5234
(951) 785-5664
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19495
CA
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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