Individual
BRENDA KAY PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IND. PROVIDER
Contact information
Practice address
222 CURTIS ST, APT. 700, DELAWARE, OH 43015-2497
(740) 972-5478
Mailing address
144 E BRANCH RD, DELAWARE, OH 43015-2228
(740) 362-3957
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2554418
—
OH
Enumeration date
02/25/2007
Last updated
07/09/2007
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