Individual
TIERRA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 PROSPECT PL, CINCINNATI, OH 45229-2915
(513) 237-1843
Mailing address
603 PROSPECT PL, CINCINNATI, OH 45229-2915
(513) 237-1843
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-327508
OH
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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