Individual
BRANDY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
292 1/2 HANE AVE, MARION, OH 43302-5368
(740) 244-4172
Mailing address
292 1/2 HANE AVE, MARION, OH 43302-5368
(740) 244-4172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401185241210
OH
376K00000X
Nurse's Aide
401185241210
OH
390200000X
Student in an Organized Health Care Education/Training Program
401185241210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401185241210
NURSE AID REGISTRY #
OH
Enumeration date
06/07/2012
Last updated
06/07/2012
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