Individual
MS. STEPHANIE YVONNE JANUSZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10250 ALLIANCE RD STE 130, BLUE ASH, OH 45242-4766
(216) 478-9208
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068470
—
OH
Enumeration date
11/08/2010
Last updated
07/27/2021
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