Individual
MS. BRENDA L BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3862 W 135TH ST, CLEVELAND, OH 44111-4430
(216) 269-8683
Mailing address
3862 W 135TH ST, CLEVELAND, OH 44111-4430
(216) 269-8683
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401187440111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401187440111
STNA
OH
Enumeration date
07/19/2013
Last updated
07/19/2013
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