Individual
GREGORY BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
14507 STENUM ST, BILOXI, MS 39532-8926
(601) 202-1217
Mailing address
14507 STENUM ST, BILOXI, MS 39532-8926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340396
MS
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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