Individual
DANIELLE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41641 N RIDGE RD, ELYRIA, OH 44035-1264
(440) 324-7406
Mailing address
426 6TH ST APT 3, ELYRIA, OH 44035-5873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.177228
OH
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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