Individual
MRS. BRANDY LYNN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12239 STATE ROUTE 41 S, GREENFIELD, OH 45123-9389
(937) 403-5539
Mailing address
12239 STATE ROUTE 41 S, GREENFIELD, OH 45123-9389
(937) 403-5539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 326871
OH
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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