Individual
ELIZABETH KUMBONG AMAAZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 RIDGE DR APT 204, FAIRFIELD, OH 45014-6112
(513) 612-0582
Mailing address
88 RIDGE DR APT 204, FAIRFIELD, OH 45014-6112
(513) 612-0582
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77274123
—
OH
Enumeration date
11/10/2022
Last updated
11/10/2022
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