Individual
BRANDI TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1448 GLENN AVE, LIMA, OH 45804-2744
(419) 905-8622
Mailing address
1448 GLENN AVE, LIMA, OH 45804-2744
(419) 905-8622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-130-668-M IV
OH
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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