Individual
REGINALD BRAZZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3539 READING RD APT 205, CINCINNATI, OH 45229-2684
(901) 218-1999
Mailing address
3539 READING RD APT 205, CINCINNATI, OH 45229-2684
(901) 218-1999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
OH
Other
Enumeration date
04/15/2024
Last updated
03/24/2026
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