Individual
BRENDA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W ROSECRANS AVE APT 62, HAWTHORNE, CA 90250-8147
(323) 381-8135
Mailing address
3601 W ROSECRANS AVE APT 62, HAWTHORNE, CA 90250-8147
(323) 381-8135
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
32129
CA
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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