Individual
KHADIJAH IMANI CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2819 W 8TH STREET, CINTI, OH 45204
(513) 687-7934
Mailing address
2819 W 8TH STREET, CINTI, OH 45204
(513) 687-7934
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3651560
OH
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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