Individual
AGNES N SEVUME-LUSWATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2685 JOHN JACOB CT, FAIRFIELD, OH 45011-1018
(513) 894-8394
(513) 894-8394
Mailing address
2685 JOHN JACOB CT, FAIRFIELD, OH 45011-1018
(513) 894-8394
(513) 894-8394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
299097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552894
—
OH
01
—
299097
REGISTERED NURSE
OH
Enumeration date
02/13/2007
Last updated
07/09/2007
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