Tiese L Bruce

NPI #1366145468 in Youngstown, Ohio

Provider Information

NPI Number: 1366145468
Entity Type: Individual
Name: Tiese L Bruce
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 345 INDIANOLA RD
City: Youngstown
State: Ohio
ZIP Code: 44512-2303
Phone: (330) 518-8467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Homemaker	376J00000X
Chore Provider	372500000X	Primary

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