Individual
BRENDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15095 AMARGOSA RD, SUITE 201, VICTORVILLE, CA 92394-1879
(760) 245-4695
Mailing address
15095 AMARGOSA RD, SUITE 208, VICTORVILLE, CA 92394
(760) 245-4695
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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