Individual
MR. IKENNA CYRIL CHIMEZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
501 CANVAS BACK CIR, CINCINNATI, OH 45246-1535
(513) 406-8717
Mailing address
501 CANVAS BACK CIR, CINCINNATI, OH 45246-1535
(513) 406-8717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125139
OH
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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