Individual
BREANA MICHELLE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
Mailing address
377 FRANCESCO PL, FORTUNA, CA 95540-2896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66457
CA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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