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Individual

LAUREL ELIZABETH BRAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 CYPRESS AVE, SOUTH SAN FRANCISCO, CA 94080-2922
(650) 817-9070
(650) 817-9074
Mailing address
PO BOX 1329, SAN CARLOS, CA 94070-7329
(650) 817-9070
(650) 817-9074

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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