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Individual

JOHN BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4619
(877) 768-6140
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 343-4619
(877) 768-3140

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
749914
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001107
CA

Other

Enumeration date
04/24/2017
Last updated
11/30/2021
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