Individual
TANYA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2899 BLUE TOP DR, COLUMBUS, OH 43232-7722
(614) 342-0235
Mailing address
2899 BLUE TOP DR, COLUMBUS, OH 43232-7722
(614) 342-0235
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139904
—
OH
Enumeration date
06/26/2020
Last updated
06/26/2020
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