Individual
BRANDY MANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
163 DURST DR NW, WARREN, OH 44483-1156
(330) 609-9191
Mailing address
163 DURST DR NW, WARREN, OH 44483-1156
(330) 609-9191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136723-IV
OH
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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