Individual
JOSE G TEJADA-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
274 SUTTON RD, CINCINNATI, OH 45230-3521
(513) 231-5010
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2304789-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/14/2017
Last updated
07/19/2023
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