Individual
TRACEE L KODJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9184 MILLCLIFF DR, CINCINNATI, OH 45231-3839
(513) 297-6563
Mailing address
PO BOX 53621, CINCINNATI, OH 45253-0621
(513) 297-6563
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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