Individual
BRANDON JENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
8963 KINGSRIDGE DR, DAYTON, OH 45458-1623
(513) 515-6298
Mailing address
8963 KINGSRIDGE DR, DAYTON, OH 45458-1623
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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