Individual
NICOLE ELIZABETH WEISBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5315 KERNAN RD, LYNCHBURG, OH 45142-9514
(937) 205-8580
Mailing address
5315 KERNAN RD, LYNCHBURG, OH 45142-9514
(937) 205-8580
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402124981218
OH
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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