Individual
AYOMIDE DAVID GBENRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(614) 914-8781
Mailing address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(614) 914-8781
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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