Individual
BRENDA LEE AIRO-DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 CASSIOPE CT, HEMET, CA 92545-8943
(619) 917-8688
Mailing address
4655 CASSIOPE CT, HEMET, CA 92545-8943
(619) 917-8688
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HOSCKP
CA
Other
Enumeration date
03/26/2024
Last updated
09/20/2024
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