Individual
MS. BRINA REVELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1771 W ROMNEYA DR STE A, ANAHEIM, CA 92801-1817
(714) 396-3102
Mailing address
1771 W ROMNEYA DR STE A, ANAHEIM, CA 92801-1817
(714) 396-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95029401
CA
Other
Enumeration date
03/13/2024
Last updated
12/09/2024
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