Individual
BRANDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
7501 HICKMAN ST, CINCINNATI, OH 45231-3419
(513) 967-1480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
391049
OH
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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