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Individual

BRENT ALLEN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
(619) 575-1215
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
(619) 575-1215

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95023840
CA

Other

Enumeration date
07/20/2024
Last updated
07/20/2024
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