Individual
BRANDI CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2148 LAKE AVE, ASHTABULA, OH 44004-3436
(440) 993-0906
Mailing address
325 W 31ST ST, ERIE, PA 16508-1738
(814) 460-9819
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09215453
OH
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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