Individual
AYANA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
324 HARLAND DR, COLUMBUS, OH 43207-5340
(614) 264-4573
Mailing address
324 HARLAND DR, COLUMBUS, OH 43207-5340
(614) 264-4573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.133568-IV
OH
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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