Most Relevant Information
Provider Data
| NPI Number: | 1003639972 |
| Provider Name: | BREANNA LEE BIXLER |
| Entity Type: | Individual |
| Taxonomy Code: | 347C00000X |
| Specialty: | Private Vehicle |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
10990 US ROUTE 36
BRADFORD
OH
453089434
Practice Location Phone/Fax
| Phone: | 9374171744 |
| Fax: |
Provider Mailing Location
10990 US ROUTE 36
BRADFORD
OH
453089434
Provider Mailing Phone/Fax
| Phone: | 9374171744 |
| Fax: |