Individual
BRANDIE BAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15678 DEL MONTE AVE, CHINO HILLS, CA 91709-3323
(504) 939-8164
Mailing address
15678 DEL MONTE AVE, CHINO HILLS, CA 91709-3323
(504) 939-8164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95034029
CA
363LF0000X
Family Nurse Practitioner
AP09231
LA
Other
Enumeration date
04/03/2017
Last updated
04/17/2025
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