Individual
MRS. AMBER BANNISTER-HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
868 LEDRO ST, CINCINNATI, OH 45246-2628
(513) 432-2196
Mailing address
868 LEDRO ST, CINCINNATI, OH 45246-2628
(513) 432-2196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.145014-M-IV
OH
Other
Enumeration date
04/05/2014
Last updated
04/05/2014
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