Individual
BRETT BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12740 HESPERIA RD STE B, VICTORVILLE, CA 92395-8306
(760) 998-1999
Mailing address
21360 TELEGRAPH RD, RIVERSIDE, CA 92507-0053
(949) 292-0334
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95028522
CA
Other
Enumeration date
12/27/2023
Last updated
01/17/2024
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