Individual
SHENEEN E GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1482 WAYCROSS RD, CINCINNATI, OH 45240-2922
(513) 418-3405
Mailing address
1482 WAYCROSS RD, CINCINNATI, OH 45240-2922
(513) 418-3405
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN117155
OH
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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