Individual
BONFACE BOBBY OKOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6366 ARCHMERE SQ E, COLUMBUS, OH 43229-1909
(614) 935-5940
Mailing address
6366 ARCHMERE SQ E, COLUMBUS, OH 43229-1909
(614) 935-5940
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486653
—
OH
Enumeration date
08/06/2014
Last updated
08/06/2014
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