Individual
BRANDY PIACENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1947 HARRINGTON MEMORIAL RD, MANSFIELD, OH 44903-8049
(419) 520-6240
Mailing address
2626 WHETSTONE RIVER RD S, MARION, OH 43302-8937
(740) 360-0410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100162
—
OH
Enumeration date
08/27/2006
Last updated
03/22/2018
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