BREANNA CARLOS

POCATELLO, ID
NPI1124504337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
BREANNA CARLOS
1169 CALL CREEK DR
POCATELLO, ID 83201-3077
Phone number: 202-232-7780
Mailing Address
BREANNA CARLOS
1169 CALL CREEK DR
POCATELLO, ID 83201-3077
Phone number: 208-232-7780
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