Most Relevant Information
Provider Data
| NPI Number: | 1003488396 |
| Provider Name: | BREANNA KNAPP |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2021 |
| Last Updated: | 07/15/2021 |
Provider Practice Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Practice Location Phone/Fax
| Phone: | 9897236791 |
| Fax: |
Provider Mailing Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |