Individual
JAMAICA ERICA BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
(385) 248-2081
Mailing address
HC 63 BOX 270161, FRUITLAND, UT 84027-2702
(435) 503-5582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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