Individual
MS. DEBORA J BRUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(310) 204-5200
(310) 202-2296
Mailing address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(747) 201-1197
(310) 202-2296
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
251134
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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