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Individual

MS. BREAUNA M STEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2425 KELLERMAN AVE APT 2, CINCINNATI, OH 45237-4430
(513) 702-3209
Mailing address
2425 KELLERMAN AVE APT 2, CINCINNATI, OH 45237-4430
(513) 702-3209

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
OH
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
OH
376J00000X
Homemaker
Primary
OH

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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