Individual
BREANNA RENAE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 S VERMONT AVE FL 1, LOS ANGELES, CA 90044-3493
(323) 525-6400
Mailing address
8300 S VERMONT AVE FL 1, LOS ANGELES, CA 90044-3493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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