Individual
JOLENE JOYCE BRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
16335 450TH ST, HOLDINGFORD, MN 56340-9783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9277
MN
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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