Individual
MRS. GLENISHA ANN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 E LODS ST, AKRON, OH 44304-1110
(330) 957-8471
Mailing address
264 E LODS ST, AKRON, OH 44304-1110
(330) 957-8471
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN141531
OK
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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