Individual
BREONA YEOMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3523 45TH ST S STE 105, FARGO, ND 58104-8962
(701) 532-1447
Mailing address
4902 16TH AVE S APT 101, FARGO, ND 58103-8943
(213) 321-3930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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