Individual
DANIELLE BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
5296 STATE ROUTE 61 S, SHELBY, OH 44875-9088
(419) 544-0119
Mailing address
5296 STATE ROUTE 61 S, SHELBY, OH 44875-9088
(419) 544-0119
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401544340713
OH
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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