Individual
MR. ORLANDO BRICKELY SANFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PERSONAL CARE ATTEND
Contact information
Practice address
232 S RACE ST, SPRINGFIELD, OH 45506-1444
(314) 269-3695
Mailing address
232 S RACE ST, SPRINGFIELD, OH 45506-1444
(314) 269-3695
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240624
—
OH
Enumeration date
02/15/2018
Last updated
02/15/2018
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