Individual
MS. AMY M BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7055 FAYETTE DR, WEST JEFFERSON, OH 43162-9797
(614) 406-8024
Mailing address
7055 FAYETTE DR, WEST JEFFERSON, OH 43162-9797
(614) 406-8024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-090464
OH
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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