Search › California › 133V00000X
Breanna Pottebaum
NPI 1487482857 · on the registry since 2024
Practice
- Address
- 944 Palm Ave Apt 5
West Hollywood, CA 90069 - Phone
- (952) 300-0907
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California