Individual
MS. GLENDA BRISBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
LACUSC MEDICAL CENTER, 2010 ZONAL AVE OPD ROOM 2P70, LOS ANGELES, CA 90033
(323) 226-5073
(323) 226-4417
Mailing address
2012 HUNTINGTON DR, #6, SOUTH PASADENA, CA 91030-4944
(323) 226-5073
(323) 226-4417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU1136
AUDIOLOGY
CA
Enumeration date
05/11/2007
Last updated
07/08/2007
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