Individual
BREANNA GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
208 N WALNUT ST STE 203, BLOOMINGTON, IN 47404-4949
(812) 318-1707
Mailing address
1105 N UNION ST APT 102, BLOOMINGTON, IN 47408-2245
(812) 318-1707
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60324105
WA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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