Individual
MS. SARA ELLEN BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-3740
Mailing address
100 N BROADWAY, APT # 211, BALTIMORE, MD 21231
(816) 665-1730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R168799
MD
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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