Individual
BRIELLE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 DOLORES ST, GRAND JUNCTION, CO 81503-1812
(970) 261-2512
Mailing address
1610 DOLORES ST, GRAND JUNCTION, CO 81503-1812
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
467829
CO
2471C3401X
Computed Tomography Radiologic Technologist
467829
CO
376K00000X
Nurse's Aide
—
CO
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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