Individual
THEMBALENA HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 WILDBRANCH RD, HAMILTON, OH 45011-7780
(513) 714-4466
Mailing address
7607 WILDBRANCH RD, HAMILTON, OH 45011-7780
(513) 714-4466
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
501093610406
OH
376K00000X
Nurse's Aide
Primary
5010936106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3101161
STATE OF OHIO PROVIDER NUMBER
OH
Enumeration date
07/08/2014
Last updated
07/08/2014
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