Fidele Koumanimben, PN.151506-M-IV

NPI #1861804221 in Fairfield, Ohio

Provider Information

NPI Number
1861804221
Entity Type
Individual
Name
Fidele Koumanimben, PN.151506-M-IV
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
PN.151506-M-IV
Enumeration Date
May 20, 2014
Last Updated
May 20, 2014

Practice Location

Address
5254 CAMELOT DR APT D
State
Ohio
ZIP Code
45014-4022
Phone
(513) 497-8095

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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