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Individual

TABITHA R KAJA-WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1769 E KENWORTH RD, COLUMBUS, OH 43224-4363
(815) 549-8858
Mailing address
4478 CHESWICK RD, COLUMBUS, OH 43231-6004
(815) 549-5881

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0202667
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020266789
OH
Enumeration date
06/22/2017
Last updated
06/22/2017
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