Individual
MR. BRYAN LEE BEHRENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7375 WISTERIA LN, WHITTIER, CA 90602-1095
(949) 330-3799
Mailing address
7375 WISTERIA LN, WHITTIER, CA 90602-1095
(949) 330-3799
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
692080
CA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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