Individual
CLEOYVONTA MITCHELLE LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 W FORK RD, CINCINNATI, OH 45211-1944
(800) 562-0102
Mailing address
3030 W FORK RD, CINCINNATI, OH 45211-1944
(513) 562-0102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RR536538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105080
—
OH
Enumeration date
09/13/2012
Last updated
04/21/2015
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