Individual
BRENDA LEE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1815 BELMONT AVE, YOUNGSTOWN, OH 44504-1106
(330) 740-9200
(216) 229-2570
Mailing address
1815 BELMONT AVE, YOUNGSTOWN, OH 44504-1106
(330) 740-9299
(216) 229-2570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60214159
WA
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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