Individual
ZELALEM BASANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2953 PARKWALK DR, CINCINNATI, OH 45239-1902
(513) 344-8243
Mailing address
2953 PARKWALK DR, CINCINNATI, OH 45239-1902
(513) 344-8243
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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