Individual
MAKAYLA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 625-3092
Mailing address
344 LAMBERT ST, GROVEPORT, OH 43125-1365
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
463297
OH
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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