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Individual

CARLA LAVONNE KING-STOKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL ADMIN. - HHA

Contact information

Practice address
3805 PENDENT LANE, COLUMBUS, COLUMBUS, OH 43207-3492
(614) 371-8382
Mailing address
3805 PENDENT LN, COLUMBUS, OH 43207-3492
(614) 371-8382

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1696802
OH
Enumeration date
08/09/2023
Last updated
08/09/2023
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