Individual
HANDADA KOSSIWAVI ATETIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
72 PEBBLE BROOK LN APT F, HAMILTON, OH 45011-0899
(513) 237-9866
Mailing address
72 PEBBLE BROOK LN APT F, HAMILTON, OH 45011-0899
(513) 237-9866
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN137602
OH
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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