Individual
MR. ANSLEM BEGEAKEH ETIENDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5614 RAINTREE PL, COLUMBUS, OH 43229-9306
(614) 354-8950
Mailing address
5614 RAINTREE PL, COLUMBUS, OH 43229-9306
(614) 354-8950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
139918
OH
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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