Individual
BRENDA IDA FISHBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 W COLLINS AVE, HILLSBORO, OH 45133-1063
(937) 763-0823
Mailing address
144 W COLLINS AVE, HILLSBORO, OH 45133-1063
(937) 763-0823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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