Individual
ELISHIBA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 388-7107
Mailing address
3774 PENDENT LN, COLUMBUS, OH 43207-3480
(614) 670-1929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
469475
OH
Other
Enumeration date
07/17/2012
Last updated
10/25/2023
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