Individual
LISA RENEE BRETCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 300, MISSION VIEJO, CA 92691-6410
(949) 364-2229
Mailing address
1064 SMOKETREE DR, CORONA, CA 92882-8783
(951) 733-9552
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
388136
CA
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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