Individual
MRS. CASSANDRA MONIC BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 N BRANCH DR, TRENTON, OH 45067-9613
(513) 393-6225
Mailing address
307 N BRANCH DR, TRENTON, OH 45067-9613
(513) 393-6225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104281
—
OH
Enumeration date
09/23/2014
Last updated
09/23/2014
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