Individual
MICHAELA MINICHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 HATMAKER ST, CINCINNATI, OH 45204-1947
(513) 363-4195
Mailing address
2121 HATMAKER ST, CINCINNATI, OH 45204-1947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6393
OH
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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