Individual
BREANA NICOLE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15717 HILLTOP DR, KEMP, TX 75143-4544
(903) 340-5166
Mailing address
15717 HILLTOP DR, KEMP, TX 75143-4544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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