Individual
MISS BRIANNE M VIRGONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
3221 CARTER AVE, UNIT 219, MARINA DEL REY, CA 90292-4944
(858) 525-1309
Mailing address
3221 CARTER AVE, UNIT 219, MARINA DEL REY, CA 90292-4944
(858) 525-1309
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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