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NPI 1437494838 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2305 Pinecrest Dr
Columbus, OH 43229 - Phone
- (614) 598-7261
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-11
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