Individual
BRANDON DEMARCO WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5484 MONTGOMERY SQUARE DR, KETTERING, OH 45440-2933
(219) 682-5920
Mailing address
5484 MONTGOMERY SQUARE DR, KETTERING, OH 45440-2933
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2903862
—
OH
Enumeration date
10/14/2020
Last updated
10/14/2020
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