Individual
BREANNA ALYSSE REBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 5TH ST, HEALTH SCIENCES EDUCATION BUILDING - 6TH FLOOR, PHOENIX, AZ 85004
(602) 298-4016
(602) 827-2425
Mailing address
12639 E BALLENTINE RD, GOLD CANYON, AZ 85118-2672
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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