Individual
BREONCKA TIMIKA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 N REYNOLDS RD APT 21, TOLEDO, OH 43615-4784
(419) 260-6484
Mailing address
629 N REYNOLDS RD, APT 21, TOLEDO, OH 43615
(419) 260-6484
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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