Individual
MRS. BETH ANN BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
542 DIRLAM LN, MANSFIELD, OH 44904-1797
(419) 756-6413
Mailing address
542 DIRLAM LN, MANSFIELD, OH 44904-1797
(419) 756-6413
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.091346
OH
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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