Individual
MISS ABENI QUINCY BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2161 MAPLE BND, COLUMBUS, OH 43229-6896
(419) 905-5843
Mailing address
2161 MAPLE BND, COLUMBUS, OH 43229-6896
(419) 905-5843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.530640
OH
163WW0000X
Wound Care Registered Nurse
Primary
RN.530640
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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