Individual
BREANNAH TWILLEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 E PATRICK RD, MIDLAND, MI 48642-6501
(760) 990-3466
Mailing address
1309 S LINDEN RD STE B, FLINT, MI 48532-3443
(810) 732-8087
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123610
MI
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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