Individual
WHITNEY BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
2270 CAHUILLA ST APT 163, COLTON, CA 92324-4766
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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