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Individual

BRITTANEE NICOLE KOONTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
1916 TRACY RD, NORTHWOOD, OH 43619-1307
(419) 250-7556
(419) 250-7556
Mailing address
1916 TRACY RD, NORTHWOOD, OH 43619-1307
(419) 250-7556
(419) 250-7556

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
376K00000X
Nurse's Aide
Primary
OH

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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