Individual
JONATHAN BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 NORTHBROOK DR, MEDIA, PA 19063-5124
(404) 748-2729
Mailing address
207 NORTHBROOK DR, MEDIA, PA 19063-5124
(404) 748-2729
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
685064
PA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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