Individual
DEBRA BRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S AMPHLETT BLVD, SUITE 123, SAN MATEO, CA 94402-2702
(650) 578-8691
(650) 578-8697
Mailing address
P O BOX 438, MONTARA, CA 94037
(650) 728-5199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150994
CPRP
CA
Enumeration date
02/02/2007
Last updated
07/08/2007
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