Individual
BROOKE WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 MARLOW RD, MANSFIELD, OH 44906-3044
(740) 360-4737
Mailing address
182 MARLOW RD, MANSFIELD, OH 44906-3044
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
RS661693
OH
347C00000X
Private Vehicle
RS661693
OH
376J00000X
Homemaker
Primary
RS661693
OH
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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