Individual
RICO MARIA BREZNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 S MAIN ST STE 4, CHEBOYGAN, MI 49721-2291
(989) 350-4686
Mailing address
9293 SHELL RD, GAYLORD, MI 49735-8525
(989) 350-4686
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8133
MI
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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