Individual
DENEEN MARIE VIOLA BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 E MAIN ST, RAVENNA, OH 44266-3308
(330) 983-3818
Mailing address
231 COMANCHE PL, KENT, OH 44240-4429
(440) 731-9098
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RW248909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358944
—
OH
Enumeration date
06/05/2020
Last updated
06/05/2020
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