Individual
BENJAMIN DZREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4058 BURNELL CIR E, COLUMBUS, OH 43224
(614) 260-5271
Mailing address
4058 BURNELL CIR E, COLUMBUS, OH 43224-1875
(614) 260-5271
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
166878
OH
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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