Brenda Lee Airo-Dyer
Peer Specialist in Hemet, CA. Individual provider (NPI-1).
NPI number1619727971
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1619727971
- Entity type
- Individual (NPI-1)
- Name
- Brenda Lee Airo-Dyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-HOSCKP | CA | Yes |
Practice location
4655 Cassiope CtHemet, CA 92545-8943
Phone 619-917-8688
Mailing address
4655 Cassiope CtHemet, CA 92545-8943
Phone 619-917-8688
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