Individual
BRANDIESHIA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1092 ROSLYN AVE, AKRON, OH 44320-2737
(610) 805-1928
Mailing address
1092 ROSLYN AVE, AKRON, OH 44320-2737
(610) 805-1928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337477
—
OH
Enumeration date
05/18/2019
Last updated
05/18/2019
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