Individual
KEVIN ARIEL BRIZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
384 JACKSON ST STE 4B, HAYWARD, CA 94544-1556
(510) 931-9622
Mailing address
18860 STANDISH AVE, CHERRYLAND, CA 94541-1708
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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