Individual
BRANDY M BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
199 W PORTAL AVE, SAN FRANCISCO, CA 94127-1305
(415) 821-8798
(415) 242-6244
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22432
CA
Other
Enumeration date
03/09/2010
Last updated
09/12/2019
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