Individual
HONORINE KIBASUMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7968 PARSLEY PL, CLAYTON, OH 45315-7946
(701) 333-8466
Mailing address
7968 PARSLEY PL, CLAYTON, OH 45315-7946
(701) 333-8466
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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