Individual provider · Type 1 NPI

Manga Fombuh Tita

Administrator Registered Nurse · Liberty Township, OH

NPI number 1043740459 Active

Practice location

8194 Colyn Ct
Liberty Township, OH 45044-8752

Call (513) 237-0119 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X355688 (OH)
Gerontology Registered Nurse 163WG0600X355688 (OH)
Home Health Registered Nurse 163WH0200X355688 (OH)
Administrator Registered Nurse Primary 163WA2000X355688 (OH)

Administrator Registered Nurse: Definition to come...

About NPI 1043740459

Manga Fombuh Tita's National Provider Identifier is 1043740459, issued on Jun 18, 2017. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Liberty Township, OH. The record was last updated on Jul 21, 2022.