Most Relevant Information
Provider Data
| NPI Number: | 1003674912 |
| Provider Name: | BRUNOS ZIEFACK NGEZEM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2024 |
| Last Updated: | 03/07/2024 |
Provider Practice Location
4891 E COUNTY LINE RD
MINERAL RIDGE
OH
444409411
Practice Location Phone/Fax
| Phone: | 6148443800 |
| Fax: |
Provider Mailing Location
445 E DUBLIN GRANVILLE RD
WORTHINGTON
OH
430853192
Provider Mailing Phone/Fax
| Phone: | 6148443800 |
| Fax: |