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Modena Brantley
NPI 1023570793 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2470 Willow Dr Sw
Warren, OH 44485 - Phone
- (330) 984-8793
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2019-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio