Individual
BREANNA MARIE MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12218 COUNTY ROAD K, LANCASTER, WI 53813-9552
(608) 482-4631
Mailing address
12218 COUNTY ROAD K, LANCASTER, WI 53813-9552
(608) 482-4631
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0021531
WI
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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