Individual
LILETH HERNANDEZ ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 685-5858
Mailing address
1619 MCNAMARA DR, DELAWARE, OH 43015-7604
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN294215
OH
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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