Search › Ohio › 174H00000X
Desta Dejene
NPI 1982092706 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2152 Leah Ln
Reynoldsburg, OH 43068 - Phone
- (614) 599-1567
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-31
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