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Brenda Deadwyler
NPI 1518541085 · on the registry since 2021 · sole proprietor
Practice
- Address
- 568 Bellevue Ave
Santa Rosa, CA 95407 - Phone
- (310) 766-4747
Additional practice sites
- 5704 Shenandoah Ave, Los Angeles, CA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California