Individual
AVENEAU CLERVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5648 EARNINGS DR, COLUMBUS, OH 43232-7430
(614) 500-9507
Mailing address
5648 EARNINGS DR, COLUMBUS, OH 43232-7430
(614) 500-9507
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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