Individual
MELITA MICHELLE COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 VISTA GLEN DR, CINCINNATI, OH 45246-2366
(513) 601-6084
(513) 301-2657
Mailing address
456 VISTA GLEN DR, CINCINNATI, OH 45246-2366
(513) 601-6084
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402062390418
OH
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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