Individual
CHRISTIANA USORO EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 WOODBROOK LN, COLUMBUS, OH 43223-3247
(614) 598-1074
Mailing address
1317 WOODBROOK LN, COLUMBUS, OH 43223-3247
(614) 598-1074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.148810
OH
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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