Individual
JAVON IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 HICKORY ST, CINCINNATI, OH 45229-2903
(513) 514-4814
Mailing address
521 HICKORY ST, CINCINNATI, OH 45229-2903
(513) 514-4814
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
99999999
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/01/2023
Last updated
04/15/2024
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