Individual
MS. BRANDY SHENEA BOHANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9122 NEIL DR, CINCINNATI, OH 45231-2915
(513) 254-2495
Mailing address
9122 NEIL DR, CINCINNATI, OH 45231-2915
(513) 254-2495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.134738-M-IV
OH
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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