Individual
BREANNA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
3975 KENNETH DR, ROOTSTOWN, OH 44272-9252
(133) 085-0514
Mailing address
6434 WATERLOO RD, ATWATER, OH 44201-9548
(330) 206-3174
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002705
OH
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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