Individual
MR. JEFFREY A BRALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
116 FEDERAL PLZ W, YOUNGSTOWN, OH 44503-1302
(330) 743-5714
Mailing address
2024 PARKDALE AVE, HERMITAGE, PA 16148-2228
(724) 342-5850
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC6087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906336
—
OH
Enumeration date
12/14/2006
Last updated
07/08/2007
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