Individual
BRYAN PINCA SEVILLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8615 KNOTT AVE STE 3, BUENA PARK, CA 90620-3886
(714) 527-4833
Mailing address
1551 E WRIGHT CIR APT 350, ANAHEIM, CA 92806-6842
(949) 293-0844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018812
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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