MS. Mondrace J Brantley

NPI #1427898436 in Fairborn, Ohio

Provider Information

NPI Number: 1427898436
Entity Type: Individual
Name: MS. Mondrace J Brantley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 3716 KETTERING CT # 10-203
City: Fairborn
State: Ohio
ZIP Code: 45324-6646
Phone: (937) 242-1092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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