Individual
BRIANNA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
Mailing address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
284645
CA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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