Individual
BREANNE NICOLE CONRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(559) 554-9710
Mailing address
40182 LILLEY MOUNTAIN DR, COARSEGOLD, CA 93614-9192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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