Individual
MS. SHONDA ISHAM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2733 LAFEUILLE AVE APT 1, CINCINNATI, OH 45211-7627
(513) 873-3751
Mailing address
2733 LAFEUILLE AVE APT 1, CINCINNATI, OH 45211-7627
(513) 873-3751
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
050532167
OH
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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