Individual
BROOKE BUROKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4697 STATE ROUTE 235, ADA, OH 45810-9517
(567) 674-1780
Mailing address
4697 STATE ROUTE 235, ADA, OH 45810-9517
(567) 674-1780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
158251
OH
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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