Individual
DR. BRENDA M CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, RN-BC
Contact information
Practice address
6816 SULTANA AVE, SAN GABRIEL, CA 91775-1527
(626) 236-8313
Mailing address
6816 SULTANA AVE, SAN GABRIEL, CA 91775-1527
(626) 236-8313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9505
CA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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