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NPI Code Detail

MEDICARE: BREANA MICHELLE FRIES-DANCY

MEDICARE: BREANA MICHELLE FRIES-DANCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1407503832
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANA MICHELLE FRIES-DANCY
Provider Business Mailing Address
First Line : 448 GARDEN HWY
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6348
Country : US
Telephone Number : 530-702-0053
Fax Number :
Provider Business Practice Location Address
First Line : 448 GARDEN HWY
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6348
Country : US
Telephone Number : 530-702-0053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2022
Last Update Date : 03/05/2022

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Directions to “ BREANA MICHELLE FRIES-DANCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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