Individual
DIVINE UWASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 LORD FITZWALTER DR, MIAMISBURG, OH 45342-2059
(513) 344-3796
Mailing address
1823 LORD FITZWALTER DR, MIAMISBURG, OH 45342-2059
(513) 344-3796
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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