Individual
MISS AWA DIAWARA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 BEECHMEADOW LN, CINCINNATI, OH 45238-3856
(513) 661-6077
Mailing address
1360 BEECHMEADOW LN, CINCINNATI, OH 45238-3856
(513) 661-6077
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
NUCC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W272393962
AETNA
OH
Enumeration date
02/20/2023
Last updated
02/20/2023
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