Individual
BRIAN KEITH ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 552-6700
Mailing address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 552-6700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120427
CA
Other
Enumeration date
03/06/2023
Last updated
02/06/2024
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