Individual
MR. DARRELL CHANTEZ DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 FARRAGUT RD, CINCINNATI, OH 45218-1406
(513) 728-5945
Mailing address
3854 RIDGECOMBE DR, CINCINNATI, OH 45248-3247
(513) 823-7934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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