Healthcare Provider Details

I. General information

NPI: 1750114567
Provider Name (Legal Business Name): BRIANNA HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 INDUSTRIAL BLVD STE 200
WEST SACRAMENTO CA
95691-5024
US

IV. Provider business mailing address

1559 HUTCHISON VALLEY DR
WOODLAND CA
95776-9403
US

V. Phone/Fax

Practice location:
  • Phone: 916-752-8965
  • Fax:
Mailing address:
  • Phone: 530-383-4166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: