Individual
CYRILLE NGOUNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2719 PINE TRACE DR, MAUMEE, OH 43537-1539
(419) 961-0084
Mailing address
2719 PINE TRACE DR, MAUMEE, OH 43537-1539
(419) 961-0084
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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