| NPI | 1710400833 |
|---|---|
| Professional Name | BREALON MICHAEL LIRETTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09510) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |