Individual
FAY L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2493 DEERCOVE CT, CINCINNATI, OH 45211-8064
(513) 413-6287
Mailing address
2493 DEERCOVE CT, CINCINNATI, OH 45211-8064
(513) 413-6287
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0343575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343575
—
OH
Enumeration date
07/22/2020
Last updated
07/22/2024
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