Individual
BRENDA TERESA SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
53 DISTANT STAR, IRVINE, CA 92618-8817
(949) 241-1100
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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