Individual
BILL H. BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7123
Mailing address
22461 PIN TAIL DR, CANYON LAKE, CA 92587-7582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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