Individual
BREONA PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16970 LIBBY RD, MAPLE HEIGHTS, OH 44137-1310
(216) 413-0131
Mailing address
16970 LIBBY RD, MAPLE HEIGHTS, OH 44137-1310
(216) 965-3413
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174587.MEDS-IV
OH
Other
Enumeration date
08/18/2020
Last updated
04/24/2024
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