Organization
EN'HANCE U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REWA A BANK CNP (OWNER)
(429) 222-9828
Entity
Organization
Contact information
Practice address
2895 HARDING HWY STE C, LIMA, OH 45804-3464
(419) 222-9828
(567) 289-5037
Mailing address
2895 HARDING HWY STE C, LIMA, OH 45804-3464
(419) 222-9828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP019414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATB224079
—
OH
Enumeration date
06/02/2018
Last updated
06/02/2018
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