Individual
CHIONISO MAREYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 ROYAL ELM DR, BLACKLICK, OH 43004-5054
(614) 377-6053
Mailing address
8111 ROYAL ELM DR, BLACKLICK, OH 43004-5054
(614) 377-6053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN383636
OH
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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