Individual
BRENDA D DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
575 AUTO CENTER DR, WATSONVILLE, CA 95076-3727
(831) 288-6537
(831) 722-2855
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
05/13/2019
Last updated
04/18/2023
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