Most Relevant Information
Provider Data
| NPI Number: | 1003366857 |
| Provider Name: | EVAREST N BUBONYE |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 401365000312 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 10/05/2016 |
Provider Practice Location
1804 GOODMAN AVE APT 4
CINCINNATI
OH
452394855
Practice Location Phone/Fax
| Phone: | 5133949219 |
| Fax: |
Provider Mailing Location
1804 GOODMAN AVE APT 4
CINCINNATI
OH
452394855
Provider Mailing Phone/Fax
| Phone: | 5133949219 |
| Fax: |