MEDICARE: TOKAYUS TRAMAINE HUNTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle	SK176377	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SK176377	OTHER	OH	LICENSE NUMBER

General Provider Information

NPI Number	:	1619547676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOKAYUS TRAMAINE HUNTER

Provider Business Mailing Address
First Line	:	1323 MADELEINE CIR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4524
Country	:	US
Telephone Number	:	513-596-2735
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 MADELEINE CIR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4524
Country	:	US
Telephone Number	:	513-596-2735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2021
Last Update Date	:	06/30/2021

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Directions to “ TOKAYUS TRAMAINE HUNTER ” Practice Location

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