Individual
CYNTHIA BRAGALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 DUNAWAY ST, APT. 2, MIAMISBURG, OH 45342-8803
(937) 247-5295
(937) 247-5297
Mailing address
PO BOX 63, MIAMISBURG, OH 45343-0063
(937) 247-5295
(937) 247-5297
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401092100510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058310
—
OH
Enumeration date
07/28/2014
Last updated
07/28/2014
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