Jenna Breseman
NPI #1194477869 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1194477869
- Entity Type
- Individual
- Name
- Jenna Breseman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 1011 MEADOWLANDS DR STE 1AND2
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55127-2339
- Phone
- (612) 260-8432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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