Individual
MR. EMMANUEL KWAKU BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 SLEEPY HOLLOW DR, MONROE, OH 45050-1759
(513) 360-0865
Mailing address
945 SLEEPY HOLLOW DR, MONROE, OH 45050-1759
(513) 360-0865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
146184
OH
164X00000X
Licensed Vocational Nurse
146184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998243
—
OH
Enumeration date
02/25/2012
Last updated
02/25/2012
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