Individual
BRANDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 S REYNOLDS RD, TOLEDO, OH 43615-6958
(419) 725-6631
Mailing address
115 S REYNOLDS RD, TOLEDO, OH 43615-6958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117380
OH
164X00000X
Licensed Vocational Nurse
117380
OH
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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