Most Relevant Information
Provider Data
| NPI Number: | 1003210972 |
| Provider Name: | BRANDI DEUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95038825 |
Most Important Dates
| Enumeration Date: | 10/21/2014 |
| Last Updated: | 10/21/2014 |
Provider Practice Location
400 N PEPPER AVE
COLTON
CA
923241801
Practice Location Phone/Fax
| Phone: | 9095803144 |
| Fax: | 9095802165 |
Provider Mailing Location
400 N PEPPER AVE
COLTON
CA
923241801
Provider Mailing Phone/Fax
| Phone: | 9095803144 |
| Fax: | 9095802165 |