Individual
BRANDY SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8614 CREEKWOOD LN, MAINEVILLE, OH 45039-9595
(513) 885-8852
Mailing address
8614 CREEKWOOD LN, MAINEVILLE, OH 45039-9595
(513) 885-8852
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.142117-M-IV
OH
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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