Search › Ohio › 103TM1800X
Jacques Muanda
NPI 1467286815 · on the registry since 2024
Practice
- Address
- 5682 Valley Forge Dr
Fairfield, OH 45014 - Phone
- (319) 693-9402
Registry record
- Primary taxonomy
- 103TM1800X
103TM1800X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
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