BRANKA VIDIC

LA QUINTA, CA
NPI1164112942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95025028)
Enumeration Date2023-05-15
Last Update Date2025-02-12
Business Address
BRANKA VIDIC
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253-2186
Phone number: 760-564-9205
Mailing Address
BRANKA VIDIC
PO BOX 7278
LA QUINTA, CA 92248-7278
Phone number: 760-564-9205