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Brianne Imada

Student in an Organized Health Care Education/Training Program in San Leandro, CA. Individual provider (NPI-1).

NPI number1083177976
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1083177976
Entity type
Individual (NPI-1)
Name
Brianne Imada
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2019
Last updated
Apr 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1000 San Leandro Blvd Ste 300
San Leandro, CA 94577-1675

Phone 808-741-2549

Mailing address

1000 San Leandro Blvd Ste 300
San Leandro, CA 94577-1675

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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