Individual
BRENDA ROCIO DURAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 35TH ST, SAN DIEGO, CA 92104-2204
(760) 554-7861
Mailing address
430 F ST, CHULA VISTA, CA 91910-3711
(619) 420-3620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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