Individual
MRS. BREANNE J NOWAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 569-2131
(915) 569-2107
Mailing address
2435 MCKINLEY AVE, VILLA SIERRA #73, EL PASO, TX 79930-2238
(631) 942-7860
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013701-1
NY
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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