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Breanna Stockham

NPI 1427574870 · on the registry since 2017

Practice

Address
700 Childrens Dr # Jw394a
Columbus, OH 43205
Phone
(614) 722-6985
Fax
(514) 722-2619

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-17

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