Individual
BRANDY JEAN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 MIDDLEBURY AVE, AKRON, OH 44305-2505
(330) 310-3224
Mailing address
127 MIDDLEBURY AVE, AKRON, OH 44305-2505
(330) 310-3224
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SX244775
OH
374U00000X
Home Health Aide
SX244775
OH
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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