Organization
HERITAGE FAMILY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BOATENG NP (OWNER)
(303) 603-2811
Entity
Organization
Contact information
Practice address
116 GRANVILLE ST STE 102, COLUMBUS, OH 43230-3044
(330) 603-2811
Mailing address
116 GRANVILLE ST STE 102, COLUMBUS, OH 43230-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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