Individual
MICHELLE ARIANE BRERETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
440 W FOOTHILL BLVD, GLENDORA, CA 91741-3361
(626) 963-9402
Mailing address
440 W FOOTHILL BLVD, GLENDORA, CA 91741-3361
(626) 963-9402
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 19260
CA
Other
Enumeration date
10/23/2007
Last updated
02/25/2008
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