Individual
BRIANA NICOLE MIDYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3100
Mailing address
4921 INDIAN WOOD RD UNIT 388, CULVER CITY, CA 90230-8524
(707) 293-0197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102209
CA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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