Individual
MRS. DONNA JEAN BROEMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51904 STATE ROUTE 26, JERUSALEM, OH 43747-9729
(740) 926-9845
Mailing address
51904 STATE ROUTE 26, JERUSALEM, OH 43747-9729
(740) 926-9845
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5600273
OH
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600273
—
OH
Enumeration date
11/03/2020
Last updated
11/03/2020
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