Individual
GWENDOLYN HOPE BRODESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 1/2 EAST THIRD ST, PIKETON, OH 45661
(740) 708-3480
Mailing address
314 1/2 EAST THIRD ST., PIKETON, OH 45661
(740) 708-3480
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0058859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058859
—
OH
Enumeration date
10/25/2023
Last updated
10/25/2023
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