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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN BLAKELY BRUGGE, BASW CADCA

Active Sole Proprietor

MR. JONATHAN BLAKELY BRUGGE, BASW CADCA is a Student (Health Education/Training) healthcare provider located in SOUTH PASADENA, California. NPI 1689920985 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SOUTH PASADENA, CA

Registration Details

NPI Number
1689920985
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2012 (13.876945695952 yrs)
Last Updated
Sep 19, 2012
Sole Proprietor
Yes

Practice Information

Address
616 PROSPECT AVE APT 2
SOUTH PASADENA, CA, 910302433
Browse CA providers · Browse ZIP 91030
Phone
3237702345
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SOUTH PASADENA, CA

Name Credential NPI
SEVANA NAAMAN 1487784039
MS. LAURA VANWECHEL PHARMD 1821354143
ANGELICA JOHNSON 1891107439
TYRONNE KAHLIL PLUNKETT 1013484468
CHELSEA FELLER 1609347251
LARISSA PERDOMO 1629689930
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.