Organization
RANADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SENIKA RANADA CHANNELS (OWNER)
(614) 506-2494
Entity
Organization
Contact information
Practice address
17 VANDERBILT DRIVE APT G, FAIRBORN, OH 45324
(614) 506-2494
Mailing address
PO BOX 681, SPRINGFIELD, OH 45501
(614) 506-2494
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2357920
OH
302R00000X
Health Maintenance Organization
2357920
OH
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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