Individual
BERNADETTE MAKULA KPAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 CROSS COUNTRY DR W, WESTERVILLE, OH 43081-3580
(856) 669-4799
Mailing address
948 CROSS COUNTRY DR W, WESTERVILLE, OH 43081-3580
(856) 669-4799
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200408
—
OH
Enumeration date
01/30/2017
Last updated
01/30/2017
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