Individual
SLESSOR MAH TOH-FOMBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
(614) 317-4689
Mailing address
8732 LINICK DR, REYNOLDSBURG, OH 43068-4782
(614) 772-4473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.456245
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030416
OH
Other
Enumeration date
07/25/2021
Last updated
02/21/2022
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