Individual
BRENDA KAY LEYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7088 TIPPECANOE RD, CANFIELD, OH 44406-9147
(330) 702-8716
Mailing address
7088 TIPPECANOE RD, CANFIELD, OH 44406-9147
(330) 702-8716
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304385
—
OH
Enumeration date
05/16/2007
Last updated
07/08/2007
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