Individual
DANIELLE GENTIA FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 MINION AVE APT 2, CINCINNATI, OH 45205-1058
(513) 252-5715
Mailing address
1721 MINION AVE APT 2, CINCINNATI, OH 45205-1058
(513) 252-5715
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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