Individual ProviderBreana GrullonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1 Boulder Ridge Rd Apt 2, Asheville, NC 28806-0256(910) 257-6383PECOS EnrollmentBased on the most recent information from CMS, provider Breana Grullon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1063252633Provider TypeIndividualFull NameGrullon, BreanaGenderFemaleSole ProprietorNoEnumeration Date5/30/2024Last Updated5/30/2024Contact InformationPractice LocationPractice Address1 Boulder Ridge Rd Apt 2, Asheville, NC 28806-0256Phone(910) 257-6383FaxUnlisted FaxMailing LocationMailing Address1 Boulder Ridge Rd Apt 2, Asheville, NC 28806-0256Phone(910) 257-6383FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer