Individual
TOMIKA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 WELLSPRING DR, CINCINNATI, OH 45231-3650
(513) 667-9969
Mailing address
1129 WELLSPRING DR, CINCINNATI, OH 45231-3650
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
486130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1348960
—
OH
Enumeration date
08/10/2022
Last updated
08/10/2022
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