Individual
MALLORY REGAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26737 NAWASH DR, PERRYSBURG, OH 43551-5464
(614) 935-1990
Mailing address
8654 KIRKLAND DR, LEWIS CENTER, OH 43035-9390
(614) 935-1990
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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