Individual
BREANNA MARIE LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
PO BOX 601341, SAN DIEGO, CA 92160-1341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110644
CA
Other
Enumeration date
07/17/2019
Last updated
12/08/2022
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