Individual
SHANNON KAY DITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
(513) 794-9964
Mailing address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
(513) 794-9964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4922
OH
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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