Individual
BRANDI DESIRE'E MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.159082
OH
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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