Individual
GADOURYOUA ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
(614) 225-0988
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
(614) 225-0988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.167802.MEDS-IV
OH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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