Individual
BRENDA FAYE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13851 E 14TH ST, SUITE 206, SAN LEANDRO, CA 94578-2631
(510) 351-9373
(510) 351-7026
Mailing address
13851 E 14TH ST, SUITE 206, SAN LEANDRO, CA 94578-2631
(510) 351-9373
(510) 351-7026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
271955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271955
CALIFORNIA BOARD OF RN
CA
Enumeration date
05/19/2006
Last updated
07/18/2007
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