Individual
MS. KEISHA LANEE BRIDGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1729 PULTE ST, FLOOR 1, CINCINNATI, OH 45225-1930
(513) 787-1418
Mailing address
1729 PULTE ST, FLOOR 1, CINCINNATI, OH 45225-1930
(513) 787-1418
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400552951106
OH
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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