MRS. Regena D Brokaw

NPI #1568129724 in Mansfield, Ohio

Provider Information

NPI Number: 1568129724
Entity Type: Individual
Name: MRS. Regena D Brokaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Nov 23, 2021
Last Updated: Nov 24, 2021

Practice Location

Address: 1211 STATE ROUTE 97
City: Mansfield
State: Ohio
ZIP Code: 44904-9322
Phone: (419) 989-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary
Private Vehicle	347C00000X

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