Individual
ANDREA L BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
26137 LA PAZ RD, SUITE 230, MISSION VIEJO, CA 92691-5319
(949) 595-8610
Mailing address
26137 LA PAZ RD, SUITE 230, MISSION VIEJO, CA 92691-5319
(949) 595-8610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
10/11/2012
Last updated
09/23/2014
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