Individual
MRS. DOROTHY LOUISE BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 PARKER RD, SPRINGBORO, PA 16435-3924
(814) 587-2718
Mailing address
2100 PARKER RD, SPRINGBORO, PA 16435-3924
(814) 587-2718
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400613550507
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400613550507
STNA
OH
Enumeration date
03/20/2009
Last updated
03/20/2009
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