Individual
BREANNA DANIELLE POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4767 LITTLE RICHMOND RD, TROTWOOD, OH 45426-3201
(937) 789-0884
Mailing address
4767 LITTLE RICHMOND RD, TROTWOOD, OH 45426-3201
(937) 789-0884
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
602317750321
OH
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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