Brandi Clark

NPI 1215283569 - Home Health Aide - 374U00000X

NPI Details
NPI 1215283569
Gender Female
Enumeration Date 07/24/2012
Last Updated 07/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
605 STANLEY AVE
COLUMBUS OH, 43206-2418, US
Phone (614) 209-0790
Fax
Business Location
605 STANLEY AVE
COLUMBUS OH, 43206-2418, US
Phone (614) 209-0790
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Brandi Clark NPI is 1215283569, taxonomy code is 374U00000X Brandi Clark physically located at 605 Stanley Ave, Columbus OH, 43206-2418. NPI Number Brandi Clark has the Individual type.

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1215283569 NPI number is provided on an as is basis without warranty of any kind. 1215283569 is maintained by the National Plan & Provider Enumeration System. The contents of Brandi Clark are for informational purposes only.