Individual
BRENDA FIALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12706 BRACKLAND AVE, CLEVELAND, OH 44108-2458
(216) 336-0829
Mailing address
12706 BRACKLAND AVE, CLEVELAND, OH 44108-2458
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RP870777
—
OH
Enumeration date
10/26/2022
Last updated
10/26/2022
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