Legal Business Name
Bridgette Coleman
Also Known As
Heaven Sent
NPI Number
1376082164
NPI Type
Organization
Enumeration Date
02/14/2017
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
3116265
Contact
Information
Purpose
Mailing
Location
Address
6848 TARAWA DR
6848 TARAWA DR
City
Cincinnati
Cincinnati
State
OH
OH
Postal Code
45224-1100
45224-1100
Country
US
US
Telephone Number
(513) 238-1939
(513) 238-1939
Authorized Official
Name
Bridgette Coleman
Title or Position
INDEPENDENT PROVIDER
Telephone Number
(513) 238-1939
Identifiers
Identifier
3116265
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/14/2017
Provider Address
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