Individual
MISS BRUNILDA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 ILLINOIS AVE, LORAIN, OH 44052-2108
(440) 288-0210
Mailing address
406 ILLINOIS AVE, LORAIN, OH 44052-2108
(440) 288-0210
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549513
—
OH
Enumeration date
07/19/2005
Last updated
06/03/2008
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