Individual
BRIANNE DIMICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
38442 FREMONT BLVD, FREMONT, CA 94536-6031
(510) 505-7300
Mailing address
4210 TECHNOLOGY DR, FREMONT, CA 94538-6337
(510) 993-7954
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95040252
CA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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