Individual
BRYAN BROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 BALDWIN CT, WESTERVILLE, OH 43082-6005
(614) 456-8065
Mailing address
251 BALDWIN CT, WESTERVILLE, OH 43082-6005
(614) 456-8065
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
2107804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390971
—
OH
Enumeration date
12/22/2020
Last updated
12/22/2020
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