Individual
MR. JONATHAN TETTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 BRADSTREET RD APT 12, CENTERVILLE, OH 45459-4546
(937) 554-0067
Mailing address
30 BRADSTREET RD APT 12, CENTERVILLE, OH 45459-4546
(937) 554-0067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN437791
OH
Other
Enumeration date
11/30/2017
Last updated
03/17/2018
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