Individual
OCTAVIE BOUGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 BLUE SPRINGS DR, MONROE, OH 45050-2502
(513) 884-7766
Mailing address
4051 BLUE SPRINGS DR, MONROE, OH 45050-2502
(513) 884-7766
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/19/2024
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