Individual
BRANDI MCQUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S TRIMBLE RD, MANSFIELD, OH 44906-3427
(429) 529-4600
Mailing address
1025 S TRIMBLE RD, MANSFIELD, OH 44906-3427
(429) 529-4600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
108365
OH
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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