Individual
GLORIA FOKUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5576 BAMBERG DR, CANAL WINCHESTER, OH 43110-1512
(614) 446-9950
Mailing address
5576 BAMBERG DR, CANAL WINCHESTER, OH 43110-1512
(614) 446-9950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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