Individual
BRANDI MARIE TERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
765 MEDICAL CENTER CT STE 216, CHULA VISTA, CA 91911-6600
(619) 623-3000
(619) 623-3001
Mailing address
765 MEDICAL CENTER CT STE 216, CHULA VISTA, CA 91911-6600
(619) 623-3000
(619) 623-3001
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
95016587
CA
363L00000X
Nurse Practitioner
Primary
95016587
CA
Other
Enumeration date
02/03/2021
Last updated
02/17/2021
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