Individual
BRENDA LEE MCCUMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
689 IRVING PARK BLVD, SHEFFIELD LAKE, OH 44054-1641
(216) 201-0279
Mailing address
689 IRVING PARK BLVD, SHEFFIELD LAKE, OH 44054-1641
(216) 201-0279
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RG221586
OH
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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