BREANNA ROSE

BOUNTIFUL, UT
NPI1942260401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202004803)
Enumeration Date2006-03-27
Last Update Date2021-06-15
Business Address
BREANNA ROSE M.S.
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
Mailing Address
BREANNA ROSE M.S.
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 703-217-9331
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