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Individual

BRIANDA ULLOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730-5416
(909) 476-8700
Mailing address
9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730-5416

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58807
CA
363A00000X
Physician Assistant

Other

Enumeration date
12/01/2020
Last updated
08/14/2024
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