Individual
BRENDA LEE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4156 JADE RD NW, CARROLLTON, OH 44615-8200
(330) 735-3016
Mailing address
4156 JADE RD NW, CARROLLTON, OH 44615-8200
(330) 735-3016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN130066
OH
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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