Individual
BRANDY RENEE DECOURCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 PARAGON RD STE C, DAYTON, OH 45459-4063
(877) 480-6398
Mailing address
8404 PONDEROSA RDG, ASHLAND, KY 41102-9034
(606) 369-6334
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A02110
KY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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