Individual
BRENDA MARIANA HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8101 GREENBACK LN, FAIR OAKS, CA 95628-2502
(916) 726-4466
Mailing address
8101 GREENBACK LN, FAIR OAKS, CA 95628-2502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016153
CA
Other
Enumeration date
01/29/2021
Last updated
07/30/2021
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