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Organization

BRILSILCO INC

Active
Other names
Brilsilco Inc, Brills Shoes
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA MICHELLE GARDNER CERTIFIED PEDORTHIST (PRESIDENT/OWNER)
(909) 882-2116
Entity
Organization

Contact information

Practice address
1367 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4640
(909) 882-2116
(909) 881-5900
Mailing address
1367 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4640
(909) 882-2116
(909) 881-5900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
528 BOARD FOR CERTIF

Other

Enumeration date
12/05/2006
Last updated
03/24/2026
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