Individual
BRENTON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(817) 565-4405
Mailing address
12535 HESBY ST, VALLEY VILLAGE, CA 91607-2930
(817) 565-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001493
CA
Other
Enumeration date
02/22/2021
Last updated
03/27/2023
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