Individual
BREANNA MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 HORSE THIEF LN, DURANGO, CO 81301-3106
(970) 759-1669
Mailing address
373 HORSE THIEF LN, DURANGO, CO 81301-3106
(970) 759-1669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005974
CO
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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