| Pro Longevity Seniors Llc | |
|
4320 Bridgetown Rd Cincinnati OH 45211-4428 | |
| (513) 574-4550 | |
| Not Available |
| Full Name | Pro Longevity Seniors Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4320 Bridgetown Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Ruth Allendoerfer-fernandez (PRESIDENT) |
| Authorized Official Contact | 5132767129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Longevity Seniors Llc 1648 Pullan Ave Cincinnati OH 45223-2009 Ph: (513) 276-7129 | Pro Longevity Seniors Llc 4320 Bridgetown Rd Cincinnati OH 45211-4428 Ph: (513) 574-4550 |
| NPI Number | 1215546452 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215546452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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