Individual
BREANNA BOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29228 US HIGHWAY 19 N, CLEARWATER, FL 33761-2101
(727) 351-4191
Mailing address
212 PALM LN N, ST PETERSBURG, FL 33710-7718
(727) 612-1852
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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