Individual
CRYSTAL ANN FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 E MEHRING WAY UNIT 1101, CINCINNATI, OH 45202-3529
(937) 522-5606
Mailing address
621 E MEHRING WAY UNIT 1101, CINCINNATI, OH 45202-3529
(937) 522-5606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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