Individual
AGBOR TAMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 CAMELOT DR APT B, FAIRFIELD, OH 45014-7452
(513) 306-9234
Mailing address
5370 CAMELOT DR APT B, FAIRFIELD, OH 45014-7452
(513) 306-9234
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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