Individual
BRITTANY ANN NICHOLE SCISUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4672 S PARK LN, TOLEDO, OH 43614-3165
(419) 464-5314
Mailing address
4672 S PARK LN BLDG 11, TOLEDO, OH 43614-3165
(419) 464-5314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170784
OH
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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