Individual
BRENDA SPONSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10565 JUSTUS AVE SW, BEACH CITY, OH 44608-9732
(305) 951-0207
Mailing address
10565 JUSTUS AVE SW, BEACH CITY, OH 44608-9732
(305) 951-0207
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2392352
OH
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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