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Jonathan Tetteh

NPI 1154835999 · on the registry since 2017 · sole proprietor

Practice

Address
30 Bradstreet Rd Apt 12
Centerville, OH 45459
Phone
(937) 554-0067
Organisation at this address
Lylyse Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 30 Bradstreet Rd Apt 12, Centerville, OH

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio