Breanna Rose Eden, LMP

NPI #1801148770 in Gig Harbor, Washington

Provider Information

NPI Number: 1801148770
Entity Type: Individual
Name: Breanna Rose Eden, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Oct 3, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 11430 51ST AVE NW STE 101A
City: Gig Harbor
State: Washington
ZIP Code: 98332-7897
Phone: (253) 857-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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