Fuller, Breanna Bianca

Fuller, Breanna Bianca is an individual health care provider with primary practice located at 1486 Huntington Ave Ste 100 , South San Francisco CA 94080-5971. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fuller, Breanna Bianca can be contacted via phone (650) 276-4101.

Contact Information

Primary practice address
1486 Huntington Ave Ste 100 South San Francisco CA 94080-5971
Phone: (650) 276-4101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013587468
LBN Legal business name Fuller, Breanna Bianca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Sep 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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