Individual
BREENA DELL CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13650 ELDER DR, BAXTER, MN 56425-8818
(218) 855-5756
(218) 855-5753
Mailing address
13650 ELDER DR, BAXTER, MN 56425-8818
(218) 855-5756
(218) 855-5753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3328
MN
152W00000X
Optometrist
3467ATI
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2009
Last updated
03/21/2016
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