Individual
MR. DONNA MAE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4490 N 4TH ST, COLUMBUS, OH 43224-1035
(614) 447-0113
Mailing address
4490 N 4TH ST, COLUMBUS, OH 43224-1035
(614) 447-0113
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2495223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495223
—
OH
Enumeration date
05/07/2007
Last updated
07/09/2007
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