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Individual

FANTAZHA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8075 READING RD STE 300C, CINCINNATI, OH 45237-1416
(513) 202-4045
(513) 873-9979
Mailing address
8075 READING RD STE 300C, CINCINNATI, OH 45237-1416
(513) 202-4045
(513) 873-9979

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B23882956
PRIVATE PAY
OH
Enumeration date
04/03/2019
Last updated
03/06/2025
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