Provider Demographics
NPI:1952389322
Name:BRAUNBERGER, GLORIA JEAN
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:JEAN
Last Name:BRAUNBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GLORIA
Other - Middle Name:JEAN
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8679 EL COSTA CIR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5009
Mailing Address - Country:US
Mailing Address - Phone:714-751-3809
Mailing Address - Fax:714-979-9538
Practice Address - Street 1:8679 EL COSTA CIR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5009
Practice Address - Country:US
Practice Address - Phone:714-751-3809
Practice Address - Fax:714-979-9538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education