Individual
BEROMIE L ELLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
5411 EDGER DR, CINCINNATI, OH 45239-7739
(513) 714-2380
Mailing address
5411 EDGER DR, CINCINNATI, OH 45239-7739
(513) 714-2380
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
4504630
OH
Other
Enumeration date
06/20/2023
Last updated
09/19/2024
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