Individual
MRS. BRENDA LEA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4632 S RIDGE RD E, ASHTABULA, OH 44004-4649
(440) 813-2956
Mailing address
PO BOX 1693, ASHTABULA, OH 44005-1693
(440) 813-2956
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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