Individual
BRANDY WYETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
4218 CODE PL, COLUMBUS, OH 43207-8623
(614) 206-0519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.151736.MEDS-IV
OH
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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