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MR. BRETT PEYTON CUSTODIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2448
Mailing address
14262 TYLER ST, #10, SYLMAR, CA 91342-1584
(818) 741-9129

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3542
CA

Other

Enumeration date
04/29/2008
Last updated
11/30/2021
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