Individual
JASON DENUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 MADISON AVE, COVINGTON, KY 41011-2414
(855) 591-0092
Mailing address
541 LIBERTY HL APT 4, CINCINNATI, OH 45202-6837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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