Individual
INEZ KHADIJAH STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1426 LAIDLAW AVE, CINCINNATI, OH 45237-5206
(513) 322-9793
Mailing address
1426 LAIDLAW AVE, CINCINNATI, OH 45237-5206
(513) 322-9793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168238
OH
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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