SearchWashington183500000X

Sandra Breaux

NPI 1710395355 · on the registry since 2014 · sole proprietor

Practice

Address
8924 Quil Ceda Blvd
Tulalip, WA 98271
Phone
(360) 657-1223
Fax
(360) 657-5233
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-28

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 Washington