Individual
JAMILA DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 LAKESIDE ST N APT I, COLUMBUS, OH 43232-4387
(614) 572-9664
Mailing address
4530 LAKESIDE ST N APT I, COLUMBUS, OH 43232-4387
(614) 572-9664
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0088674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108205214199
AETNA
OH
Enumeration date
09/27/2014
Last updated
09/27/2014
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