Individual
BRIAUNA RACHELLE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5652 BONAVENTURE DR, COLUMBUS, OH 43228-7232
(323) 974-0603
Mailing address
5652 BONAVENTURE DR, COLUMBUS, OH 43228-7232
(323) 974-0603
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
12/06/2022
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