| Victorian Health Llc | |
|
3087 Westminster Dr Unit 205 Beavercreek OH 45431-8803 | |
| (305) 528-6689 | |
| Not Available |
| Full Name | Victorian Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3087 Westminster Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Jenny Victoria Wariboko (CEO) |
| Authorized Official Contact | 3055286689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorian Health Llc 3087 Westminster Dr Unit 205 Beavercreek OH 45431-8803 Ph: (305) 528-6689 | Victorian Health Llc 3087 Westminster Dr Unit 205 Beavercreek OH 45431-8803 Ph: (305) 528-6689 |
| NPI Number | 1306249008 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306249008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.096373 (Ohio) | Primary |
| 208000000X | Pediatrics | 35.096373 (Ohio) | Secondary |
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