Organization
OHIO DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SARGENT (REGISTERED NURSE)
(513) 667-4748
Entity
Organization
Contact information
Practice address
5818 MADISON RD, CINCINNATI, OH 45227-1708
(513) 271-6089
Mailing address
5905 SNYDER RD, CINCINNATI, OH 45247-5727
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
407561
OH
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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