Individual
TIGIST DAGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8754 GREYLAG LOOP, BLACKLICK, OH 43004-8332
(614) 565-2616
Mailing address
8754 GREYLAG LOOP, BLACKLICK, OH 43004-8332
(614) 565-2616
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN331702
OH
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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