Individual
DONETTA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7164 BROOKE BLVE., REYNOLDSBURG, OH 43068
(614) 495-7489
Mailing address
7164 BROOKE BLVE., REYNOLDSBURG, OH 43068
(614) 495-7489
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401233670511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401233670511
—
OH
Enumeration date
11/21/2022
Last updated
11/21/2022
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