Provider Information for 1609438589
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VERONICA MARIA BRIODY
Sex: Female
NPI: 1609438589
Last Updated: 2019-07-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1609438589 | ||||||||||||||
| Enumeration Date | 2019-07-01 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 3301 37TH AVE SACRAMENTO, CA 95824-2418 United States Phone: 916-210-8773 | Fax: | ||||||||||||||
| Primary Practice Address | 3301 37TH AVE SACRAMENTO, CA 95824-2418 United States Phone: 916-210-8773 | Fax: | ||||||||||||||
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