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Individual
MRS. SARETHA BRANTLEY
Active
Individual
MRS. SARETHA BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
188774
OH
374U00000X
Home Health Aide
0102290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164805313
—
OH
Enumeration date
07/07/2015
Last updated
10/18/2024
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