Individual
DENNIE CAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
795 FAIRBORN RD, CINCINNATI, OH 45240-2552
(513) 207-3469
Mailing address
795 FAIRBORN RD, CINCINNATI, OH 45240-2552
(513) 207-3469
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168269
OH
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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