Individual
BREYANA JEQUEI BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 SHERMAN ST, AKRON, OH 44311
(234) 718-0218
Mailing address
909 SHERMAN ST, AKRON, OH 44311
(234) 718-0218
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
0267138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267138
—
OH
Enumeration date
06/22/2018
Last updated
06/22/2018
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