Individual
TONYA N JALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 GRANT AVE, CINCINNATI, OH 45231-1322
(513) 969-4781
Mailing address
2644 GRANT AVE, CINCINNATI, OH 45231-1322
(513) 969-4781
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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