Individual
MRS. FANNYE MAE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
4320 HAMILTON AVE, CINCINNATI, OH 45223
(513) 681-3657
(513) 681-3657
Mailing address
4320 HAMILTON AVE, CINCINNATI, OH 45223
(513) 681-3657
(513) 681-3657
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712452
—
OH
Enumeration date
01/07/2008
Last updated
01/07/2008
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