Individual
CORNELIUS O TIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3594 ROBROY DR APT 2, CINCINNATI, OH 45247-7018
(513) 407-3265
Mailing address
3594 ROBROY DR APT 2, CINCINNATI, OH 45247-7018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN138040
OH
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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