Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG000248 | PA |
NPI | 1013014604 |
---|---|
Provider Name | Rhonda Catherine Breuer |
First Address | New Galilee, PA 16141-4115 |
Second Address | Beaver Falls, PA 15010-1204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 08/07/2007 |