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Individual

KEISHA ROYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
873 OAKFIELD AVE, CINCINNATI, OH 45224-1749
(513) 226-4077
Mailing address
873 OAKFIELD AVE, CINCINNATI, OH 45224-1749
(513) 226-4077

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary
401854710516
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195067
OH
Enumeration date
03/15/2017
Last updated
03/15/2017
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