Individual
MS. MARY EILEEN GRITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 WALHALLA RD, COLUMBUS, OH 43202-1474
(614) 506-5151
Mailing address
413 WALHALLA RD, COLUMBUS, OH 43202-1474
(614) 506-5151
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2691949
INDEPENDENT PROVIDER
OH
Enumeration date
03/15/2007
Last updated
07/08/2007
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