Mrs. Regena D Brokaw
Mrs. Regena D Brokaw is a Homemaker in Mansfield, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1211 State Route 97Mansfield, OH 44904-9322
Phone: (419) 989-1027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Private Vehicle | Taxonomy 347C00000X |
Record details
| NPI number | 1568129724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 23, 2021 |
| Last updated in NPPES | November 24, 2021 |
| Certification date | November 24, 2021 |
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