Individual
MISS BROOKLYN AMIA BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
1121 WORTHINGTON WOODS BLVD # 6126, WORTHINGTON, OH 43085-1568
(740) 963-6673
Mailing address
1121 WORTHINGTON WOODS BLVD # 6126, WORTHINGTON, OH 43085-1568
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
F6L7Y6F8
OH
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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