person
Breanna Carlos
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1124504337

Breanna Carlos is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Breanna Carlos practices in Pocatello, ID. The NPI Number for Breanna Carlos is 1124504337 and holds a License No. (Idaho).

The current practice location address for Breanna Carlos is 1169 Call Creek Dr, Pocatello, ID and can be reached out via phone at 202-232-7780.

Location: 1169 Call Creek Dr, Pocatello, ID, 83201-3077
person
Provider Profile Details
NPI Number
1124504337
Provider Name
Breanna Carlos
Credential
Provider Entity Type
Individual
Gender
Female
Address
1169 Call Creek Dr, Pocatello, ID, 83201-3077
Phone Number
202-232-7780
Fax Number
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1169 Call Creek Dr
City
State
Zip
83201-3077
Phone Number
202-232-7780
Fax Number
person
Provider Business Mailing Address Details
Address
1169 Call Creek Dr
City
State
Zip
83201-3077
Phone Number
202-232-7780
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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