Individual
JACQUELINE NWANDO OLAYIWOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
543 TAYLOR AVE FL 2, COLUMBUS, OH 43203-1278
(614) 688-6490
(614) 688-6491
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 688-6490
(614) 688-6491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35137342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
07/05/2005
Last updated
10/09/2019
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