Individual
BRE'AJA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1045 9TH AVE, SAN DIEGO, CA 92101-5504
(619) 235-2600
Mailing address
1045 9TH AVE, SAN DIEGO, CA 92101-5504
(619) 235-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95199915
CA
Other
Enumeration date
12/08/2019
Last updated
12/19/2019
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