Individual
DENZELL M MATLOCK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 816-4556
Mailing address
4373 ALAMEDA DR, GROVE CITY, OH 43123-8427
(614) 390-9140
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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