Individual
BRENDA FRANCES WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 GRAHAM RD, RISINGSUN, OH 43457-9721
(419) 376-4451
Mailing address
10233 BLUE RIDGE DR S, WHITEHOUSE, OH 43571-9059
(419) 376-4451
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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