Organization
TAMMY BRIDENBAUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BRIDENBAUGH (LPN)
(937) 875-0673
Entity
Organization
Contact information
Practice address
1028 N. BROADWAY, SIDNEY, OH 45365
(937) 875-0673
Mailing address
1028 N. BROADWAY, SIDNEY, OH 45365
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
151937
OH
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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