Individual
AYANTU ETAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 LEGION LN, COLUMBUS, OH 43232-5495
(614) 695-8776
Mailing address
3165 LEGION LN, COLUMBUS, OH 43232-5495
(614) 695-8776
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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