Organization
PRO LONGEVITY SENIORS LLC
Active
Other names
Pro Longevity Seniors LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ALLENDOERFER-FERNANDEZ MD (PRESIDENT)
(513) 276-7129
Entity
Organization
Contact information
Practice address
4320 BRIDGETOWN RD, CINCINNATI, OH 45211-4428
(513) 574-4550
Mailing address
1648 PULLAN AVE, CINCINNATI, OH 45223-2009
(513) 276-7129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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