Individual
ROBERT TARH MBUAGBAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3795 FOX RUN DR APT 101, CINCINNATI, OH 45236-1146
(502) 320-2493
Mailing address
3795 FOX RUN DR APT 101, CINCINNATI, OH 45236-1146
(502) 320-2493
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN 126068 MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PN 126068 MEDS
—
OH
Enumeration date
01/28/2010
Last updated
01/28/2010
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