Individual
BREANNA NICOLE LEWENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
951 JACARANDA DR, EL CENTRO, CA 92243-6159
(310) 321-8567
Mailing address
951 JACARANDA DR, EL CENTRO, CA 92243-6159
(310) 321-8567
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000031933
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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