Individual
MR. DONALD RAY RAVENSCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 IRWIN SIMPSON RD, MASON, OH 45040-8107
(513) 229-3155
Mailing address
10906 OHIO AVE, CINCINNATI, OH 45241-2506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
157588
OH
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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