Individual
ELEANOR BRAKEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(908) 500-8759
Mailing address
210 WATERMAN ST, PROVIDENCE, RI 02906-4334
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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