Breanna Carlos is a student in an organized health care education training program in Pocatello, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Breanna Carlos NPI is 1124504337. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1169 CALL CREEK DR
POCATELLO, ID
ZIP 83201-077
Phone: (202) 232-7780
The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.