Individual
KIM BRYANT ANTONIO JUANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2677 LIVE OAK TER, HAYWARD, CA 94541-4377
(925) 640-5386
Mailing address
2677 LIVE OAK TER, HAYWARD, CA 94541-4377
(925) 640-5386
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
829493
CA
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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