Individual
BRENDA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 W ELY ST, ALLIANCE, OH 44601-1704
(234) 564-4365
Mailing address
144 W ELY ST, ALLIANCE, OH 44601-1704
(234) 564-4365
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501002880705
OH
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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