Individual
CEZAR SAN JOSE POLIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4380 MALSBARY RD, BLUE ASH, OH 45242-5644
(513) 793-6444
Mailing address
301 RHEA AVE, HAMILTON, OH 45013-2950
(513) 889-2466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN093449
OH
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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