Individual
MRS. CARLA R BREAZEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 JOSEPHINE ST, SWEETWATER, TX 79556-3418
(832) 585-7940
Mailing address
1201 JOSEPHINE ST, SWEETWATER, TX 79556-3418
(832) 585-7940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
210487
TX
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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