-- JOHN CHARLES BRECOUNT
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1568114056- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16560 JACKDAW PATH, LAKEVILLE, MN, 550444642
- Phone
- (952) 237-9138
Specialties & Taxonomies
Registered Nurse
Primary License: MN #2328256