Provider Information for 1316322902
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Mrs. LINDA JULIANA BRAMEL MFT
Sex: Female
NPI: 1316322902
Last Updated: 2020-08-12
Certification Date: 2020-08-12
Certification Date: 2020-08-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316322902 | ||||||||
| Enumeration Date | 2015-07-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5055 CANYON CREST DR. SUIE 214 RIVERSIDE, CA 92507 United States Phone: 951-232-3476 | Fax:951-783-9199 | ||||||||
| Primary Practice Address | 5055 CANYON CREST DR STE 214 RIVERSIDE, CA 92507-6015 United States Phone: 951-232-3476 | Fax:951-783-9199 | ||||||||
| Secondary Practice Address(es) | 17815 ROBERTS RD | ||||||||
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