BRETT ALLEN PROVENCE

BALDWIN PARK, CA
NPI1003048026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: CA  20A11220)
Enumeration Date2009-08-10
Last Update Date2021-12-01
Business Address
BRETT ALLEN PROVENCE D.O.
1011 BALDWIN PARK BLVD 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Mailing Address
BRETT ALLEN PROVENCE D.O.
1011 BALDWIN PARK BLVD 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
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