Individual
ALISHA KLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3114 BANNING RD, CINCINNATI, OH 45239-5205
(513) 291-8258
Mailing address
3114 BANNING ROAD, CINCINNATI, OH 45239
(513) 291-8258
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
162055
OH
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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