Individual
MS. BREAIZIA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7133 GLENDALE AVE APT 3, YOUNGSTOWN, OH 44512-4816
(234) 201-5114
Mailing address
7133 GLENDALE AVE APT 3, YOUNGSTOWN, OH 44512-4816
(234) 201-5114
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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