Individual
BRANDI M. FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 S DIAMOND BAR BLVD, SUITE 108, DIAMOND BAR, CA 91765-2298
(626) 290-5773
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16544
CA
Other
Enumeration date
11/09/2007
Last updated
06/19/2019
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