Individual
JEANNE MARIE BREXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL, CHT
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-5054
Mailing address
26 SHADOW HILL LN, LAGUNA HILLS, CA 92653-6065
(949) 933-2007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6777
CA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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