Breanna Simone Smith

NPI #1295466696 in Klamath Falls, Oregon

Provider Information

NPI Number: 1295466696
Entity Type: Individual
Name: Breanna Simone Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 3647 HIGHWAY 39
City: Klamath Falls
State: Oregon
ZIP Code: 97603-2612
Phone: (541) 884-5244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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