Individual
BREANNA BELLE SO LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
732 N BROADWAY, ESCONDIDO, CA 92025-1870
(833) 574-2273
Mailing address
732 N BROADWAY, ESCONDIDO, CA 92025-1870
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A194151
CA
Other
Enumeration date
04/13/2020
Last updated
10/15/2024
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