Individual
JACOB BRANOVACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1657 MUNROE FALLS AVE APT 32, CUYAHOGA FALLS, OH 44221-3651
(330) 604-3725
Mailing address
1657 MUNROE FALLS AVE APT 32, CUYAHOGA FALLS, OH 44221-3651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.157960.MEDS-IV
OH
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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