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Individual

DIVA MARGARET JONATAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219
(513) 475-7400
(513) 475-8201
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 475-7400
(513) 475-8201

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R210492
MD
163W00000X
Registered Nurse
RN95109387
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022840
OH
363LF0000X
Family Nurse Practitioner
FNP95005840
CA

Other

Enumeration date
10/13/2016
Last updated
07/13/2018
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