Individual
JENNIFER MARIE BRUHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACP, MAP
Contact information
Practice address
3521 CASANOVA DR, SAN MATEO, CA 94403-2908
(650) 574-4562
Mailing address
3521 CASANOVA DR, SAN MATEO, CA 94403-2908
(650) 574-4562
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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