Individual
ANDREA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 KINGSVIEW DR BLDG A, LEBANON, OH 45036-9562
(513) 228-7800
Mailing address
204 COOK RD STE 400, LEBANON, OH 45036-9600
(513) 228-7800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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