Most Relevant Information
Provider Data
| NPI Number: | 1003671363 |
| Provider Name: | TARI SUSAN HUNDLEY COA |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1101X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/15/2024 |
| Last Updated: | 02/15/2024 |
Provider Practice Location
2929 HIGHLAND AVE
CINCINNATI
OH
452192463
Practice Location Phone/Fax
| Phone: | 5135593599 |
| Fax: |
Provider Mailing Location
5075 E RIVER RD APT 23
FAIRFIELD
OH
450142682
Provider Mailing Phone/Fax
| Phone: | 5132801541 |
| Fax: |