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ARLENE BRAHAM MD

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447362462

Individual Registrant:
 ARLENE  BRAHAM MD
Gender: F
Sole Proprietor

Location and contact information for practice:
12021 JACARANDA AVE STE 101  HESPERIA, CA 92345-4978 US
Tel: 760-956-5174  Fax: 760-948-2179

Contact information for business:
12021 JACARANDA AVE STE 100  HESPERIA, CA 92345-4978 US
Tel: (76-0) -956-2636  Fax: --

Registration Information:
NPI: 1447362462
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CAG66379

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G663790CA05
RAILROAD MEDICARE080039888CA01




HEALTH CARE JOBS CA - Page 1



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