Individual
BREANNE VIOLET LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTC
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(952) 831-8742
Mailing address
364 OLD CEMETERY RD, RIVER FALLS, WI 54022-3040
(715) 220-7344
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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