Individual
MISS ELAINA CIA WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 253-8050
Mailing address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 253-8050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
154761
OH
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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