Individual
MR. RICKY BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BA, MBA; COHC
Contact information
Practice address
110 S MYRTLE AVE, WILLARD, OH 44890-1425
(419) 935-1541
Mailing address
110 S MYRTLE AVE, WILLARD, OH 44890-1425
(419) 935-1541
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.313671
OH
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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