Individual
EBONY RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4219 FOLEY RD, CINCINNATI, OH 45238-5501
(513) 915-2828
Mailing address
4219 FOLEY RD, CINCINNATI, OH 45238-5501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.180606.MEDS.IV
OH
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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