IndividualActive
Breanna Carlos
NPI 1124504337 · Student in an Organized Health Care Education/Training Program · Pocatello, ID
Provider details
- NPI number
- 1124504337
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
1169 Call Creek Dr
Pocatello, ID 83201-3077
Phone: (202) 232-7780
Approximate (ZIP-level) locationGet directions
Mailing address
1169 Call Creek Dr
Pocatello, ID 83201-3077
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.