Individual
ALLISON BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 EAST CROSS ST, ANSONIA, OH 45303
(937) 417-5675
(937) 337-0241
Mailing address
PO BOX 381, ANSONIA, OH 45303-0381
(937) 417-5675
(937) 337-0241
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073358
—
OH
Enumeration date
07/26/2006
Last updated
07/09/2007
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