Individual
BREA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E BROAD ST, COLUMBUS, OH 43215-3414
(800) 617-6733
Mailing address
1305 LONGACRE DR, CINCINNATI, OH 45240-2330
(513) 307-9515
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
06/29/2022
Last updated
05/20/2023
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