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Individual

MS. BRANDIS MAIYA HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3677 LUDGATE RD, SHAKER HEIGHTS, OH 44120-5069
(216) 209-7987
(216) 588-1078
Mailing address
3677 LUDGATE RD, SHAKER HEIGHTS, OH 44120-5069
(216) 209-7987
(216) 588-1078

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
463970
OH
163WH0200X
Home Health Registered Nurse
463970
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0124117
OH
Enumeration date
08/19/2011
Last updated
03/16/2023
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