Individual
BREON LATONIA MERRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH
Contact information
Practice address
3920 BEAVER AVE, DES MOINES, IA 50310-3635
(515) 803-4041
(515) 279-0920
Mailing address
3920 BEAVER AVE, DES MOINES, IA 50310-3635
(515) 803-4041
(515) 279-0920
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211
—
IA
Enumeration date
02/07/2020
Last updated
02/07/2020
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