BREANA NICOLE HAGEN-ORTIZ

CLARKSTON, WA
NPI1891537411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2024-06-12
Last Update Date2024-06-12
Business Address
BREANA NICOLE HAGEN-ORTIZ BS, BIS
1620 CHESTNUT ST APT B
CLARKSTON, WA 99403-1155
Phone number: 208-310-6682
Mailing Address
BREANA NICOLE HAGEN-ORTIZ BS, BIS
1620 CHESTNUT ST APT B
CLARKSTON, WA 99403-1155
Phone number: 208-310-6682
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