Individual
BRENDA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7050 PINECREST ST NE, CANTON, OH 44721-2806
(330) 323-9437
Mailing address
7050 PINECREST ST NE, CANTON, OH 44721-2806
(330) 323-9437
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN247692
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN247692
OH
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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