Individual
AMIE NICOLE DETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 FLOWER AVE APT 3, CINCINNATI, OH 45205-2086
(513) 915-4999
Mailing address
4104 FLOWER AVE APT 3, CINCINNATI, OH 45205-2086
(513) 915-4999
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004866
OH
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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