Individual
LAVANETTE THEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4947 CRYODON BLVD N, COLUMBUS, OH 43232-5318
(380) 265-9080
Mailing address
4947 CRYODON BLVD N, COLUMBUS, OH 43232-5318
(380) 265-9080
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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