Individual
ANN LOUISE BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SANFORD SOUTHPOINTE EYE CENTER & OPTICAL, 2400 32ND AVE. S., FARGO, ND 58103
(701) 234-3640
Mailing address
PO BOX 606, HILLSBORO, ND 58045-0606
(701) 430-9898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3619
MN
152W00000X
Optometrist
Primary
763
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2019
Last updated
03/28/2022
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