Individual
MRS. BRENDA JEREZ-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 E COOLEY DR, COLTON, CA 92324-3905
(909) 370-4100
(909) 370-1549
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004681
CA
Other
Enumeration date
09/29/2016
Last updated
02/27/2017
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