Individual
AMINAH SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3506 DAYTONA AVE, CINCINNATI, OH 45211-6412
(513) 372-5253
Mailing address
3506 DAYTONA AVE, CINCINNATI, OH 45211-6412
(513) 372-5253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
145170
OH
Other
Enumeration date
03/28/2013
Last updated
05/05/2015
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