Organization
INDEPENDENT PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE IHEOMA DURU (LPN)
(614) 834-8519
Entity
Organization
Contact information
Practice address
3277 KADY LN, COLUMBUS, OH 43232-7455
(614) 834-8519
Mailing address
3277 KADY LN, COLUMBUS, OH 43232-7455
(614) 834-8519
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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