Individual
BREANNA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
183 HATHERLY DR, HAMILTON, OH 45013-2016
(513) 330-1454
Mailing address
183 HATHERLY DR, HAMILTON, OH 45013-2016
(513) 330-1454
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
394589
OH
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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