Individual provider · Type 1 NPI

Breanna Carlos

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1124504337 Active

Practice location

1169 Call Creek Dr
Pocatello, ID 83201-3077

Call (202) 232-7780 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124504337

Breanna Carlos's National Provider Identifier is 1124504337, issued on Jul 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 11, 2018.