Provider Demographics
NPI:1659758795
Name:PLUMMER, BRITTANY (LAC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9998 MUFFIN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3214
Mailing Address - Country:US
Mailing Address - Phone:858-414-6604
Mailing Address - Fax:
Practice Address - Street 1:16769 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 21
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2546
Practice Address - Country:US
Practice Address - Phone:858-433-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16533171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist