Breezetta Lowanet Etienne, PA-C
NPI #1659361244 in Grand Forks Afb, North Dakota
Provider Information
- NPI Number
- 1659361244
- Entity Type
- Individual
- Name
- Breezetta Lowanet Etienne, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 25, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1599 J ST
- City
- Grand Forks Afb
- State
- North Dakota
- ZIP Code
- 58205-6306
- Phone
- (701) 747-6687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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