Individual
BREANNA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8301 113TH ST S, COTTAGE GROVE, MN 55016-4520
(651) 497-6725
Mailing address
8301 113TH ST S, COTTAGE GROVE, MN 55016-4520
(651) 497-6725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244166-7
MN
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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