MISS Dissirama A Betimbena, SOLE MBR
NPI #1508682071 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1508682071
- Entity Type
- Individual
- Name
- MISS Dissirama A Betimbena, SOLE MBR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- SOLE MBR
- Enumeration Date
- Nov 29, 2024
- Last Updated
- Apr 18, 2025
Practice Location
- Address
- 11260 CHESTER RD FL 7
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45246-4048
- Phone
- (513) 747-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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