Individual
BRENDA VANESSA BRAVO TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 N STATE HIGHWAY 59 STE K, MERCED, CA 95348-9405
(209) 725-2125
Mailing address
3360 N STATE HIGHWAY 59 STE K, MERCED, CA 95348-9405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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