Individual
GANNA L BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20A8612
CA
2083X0100X
Occupational Medicine Physician
Primary
20A8612
CA
Other
Enumeration date
06/11/2007
Last updated
12/18/2018
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