Individual
MISS DE'ONNA SHARICE BRAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5882 KIMBERLY DR, BEDFORD HEIGHTS, OH 44146-3004
(440) 439-9449
Mailing address
20979 ELLACOTT PKWY, APARTMENT #E-6, WARRENSVILLE HEIGHTS, OH 44128-4475
(216) 662-6599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.118620.
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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