Individual
BRANDY ANNE MARIE GRESOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2417 CHEYENNE BLVD, APT 53, TOLEDO, OH 43614-1773
(419) 280-2549
Mailing address
2417 CHEYENNE BLVD, APT 53, TOLEDO, OH 43614-1773
(419) 280-2549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131-420 IV
OH
Other
Enumeration date
08/31/2011
Last updated
04/06/2013
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