Individual
BRENDA LIZET DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702
(559) 453-1008
Mailing address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 453-1008
(559) 600-7732
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274812
CA
Other
Enumeration date
01/23/2014
Last updated
10/21/2024
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