Individual
BREEANNA MCCAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 6TH AVE, ROCK ISLAND, IL 61201
(309) 793-1557
Mailing address
4200 6TH AVE, ROCK ISLAND, IL 61201-2109
(309) 793-1557
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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