Individual
CATE GEOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 KINNEAR RD, COLUMBUS, OH 43212-1488
(614) 292-5440
Mailing address
760 KINNEAR RD, COLUMBUS, OH 43212-1488
(614) 292-5440
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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