Individual
BRANDY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E MULBERRY ST, BRYAN, OH 43506-1427
(419) 630-6501
Mailing address
510 E MULBERRY ST, BRYAN, OH 43506-1427
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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