Individual
BREANNA MARY GRACE ACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
338 HOWARD BLVD, NEWPORT, NC 28570-7928
(252) 223-5054
(252) 223-4038
Mailing address
338 HOWARD BLVD, PO BOX 969, NEWPORT, NC 28570-7928
(252) 223-5054
(252) 223-4038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03846
NC
Other
Enumeration date
10/19/2012
Last updated
01/30/2015
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