Individual
PAMELA CORNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 569-7736
Mailing address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 569-7736
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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