Individual
BRYZAEZS CHEYENNE JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
Mailing address
1399 WORLEY RD UNIT E, SUISUN CITY, CA 94585-1970
(707) 862-4539
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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