Individual
MRS. BREANNA DANIELLE FREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8890 N UNION BLVD STE 170, COLORADO SPRINGS, CO 80920-2701
(719) 364-5005
Mailing address
8890 N UNION BLVD STE 170, COLORADO SPRINGS, CO 80920-2701
(719) 364-5005
(719) 365-9911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004897
CO
Other
Enumeration date
01/19/2017
Last updated
04/27/2020
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