Individual
FAYTHE KUPIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
(614) 487-8758
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
02/06/2023
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