Individual
JESSICA R. BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1551 S FLAMINGO WAY, DENVER, CO 80222-3909
(303) 757-2802
Mailing address
1551 S FLAMINGO WAY, DENVER, CO 80222-3909
(303) 757-2802
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
122261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68982216
—
CO
Enumeration date
07/13/2005
Last updated
07/23/2007
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