Individual
BIANCA CHANNEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1880 N ORANGE GROVE AVE, POMONA, CA 91767-3006
(909) 620-7200
(909) 620-5800
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95203758
CA
363L00000X
Nurse Practitioner
Primary
95030821
CA
Other
Enumeration date
06/26/2024
Last updated
12/30/2024
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