PHALLA POV-BRANTLE

FRESNO, CA
NPI1306250709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  23738)
Enumeration Date2014-06-13
Last Update Date2016-03-29
Business Address
-- PHALLA POV-BRANTLE
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-436-4500
Mailing Address
-- PHALLA POV-BRANTLE
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-436-4500