Lister, Breona

Lister, Breona is an individual health care provider with primary practice located at 38 17 Gruber Rd , Fort Bragg NC 28303. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lister, Breona can be contacted via phone (910) 396-5012.

Contact Information

Primary practice address
38 17 Gruber Rd Fort Bragg NC 28303
Phone: (910) 396-5012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 11689 North Carolina

Profile Details

NPI number 1225695273
LBN Legal business name Lister, Breona
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated May 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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