Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 241956 | NY |
Y | 207SG0201X | Clinical Genetics (M.D.) | A97925 | CA |
NPI | 1508062910 |
---|---|
Provider Name | Dr. Leslie Manace Brenman |
First Address | Oakland, CA 94611-5641 |
Second Address | Oakland, CA 94611-5641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 11/02/2022 |