Provider Demographics
NPI:1124711916
Name:SIRLEAF, ZENAB VII
Entity type:Individual
Prefix:
First Name:ZENAB
Middle Name:
Last Name:SIRLEAF
Suffix:VII
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-7026
Mailing Address - Country:US
Mailing Address - Phone:862-220-0183
Mailing Address - Fax:
Practice Address - Street 1:39 RIDGE DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-7026
Practice Address - Country:US
Practice Address - Phone:862-220-0183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter