Individual
GRADIE TSHIKUNA MBIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3966 WILSON FARMS BLVD, FRANKLIN, OH 45005-3599
(704) 713-0286
Mailing address
3966 WILSON FARMS BLVD, FRANKLIN, OH 45005-3599
(704) 713-0286
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
OH
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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