Individual
MRS. BRANDY LEIGH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 W ABERDEEN DR, TRENTON, OH 45067-1044
(513) 988-9349
Mailing address
715 W ABERDEEN DR, TRENTON, OH 45067-1044
(513) 988-9349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 121082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS093773
DRIVERS LICENSE
OH
Enumeration date
01/15/2008
Last updated
01/15/2008
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