Individual
BREANNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35B MATTINGLY AVE, INDIAN HEAD, MD 20640-1731
(240) 419-8712
Mailing address
35B MATTINGLY AVE, INDIAN HEAD, MD 20640-1731
(240) 419-8712
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00183232
MD
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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