MR. JONATHAN BREWER

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1174265250

Practice Address

121-2 BLOOD ST
Lyme, CT 06371

Phone: (619) 366-6421

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1174265250 is the National Provider Identifier for MR. JONATHAN BREWER, a Student in an Organized Health Care Education/Training Program provider located in Lyme, CT. This NPI was enumerated on April 10, 2022.
MR. JONATHAN BREWER practices at 121-2 BLOOD ST, Lyme, CT 06371.

Quick Facts

NPI
1174265250
Type
Individual
Enumerated
Apr 10, 2022
Last Updated
Apr 10, 2022

Nearby Providers