Individual provider · Type 1 NPI

Breanna Odneal

Specialist · Lakeport, CA

NPI number 1992584866 Active

Practice location

1950 Parallel Dr
Lakeport, CA 95453-9388

Mailing address

2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598-2538

Other practice locations

  • 169 Mason St Ste 300, Ukiah, CA 95482-4483 · (707) 463-3300

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9 other providers at this address

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About NPI 1992584866

Breanna Odneal's National Provider Identifier is 1992584866, issued on Sep 28, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakeport, CA. The record was last updated on Mar 5, 2024.