Individual
DIANE SUZAN BRANTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 890-1940
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737290
CA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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