Individual
KHADIJA BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 RENE CT, WESTERVILLE, OH 43081-4938
(929) 575-3720
Mailing address
504 RENE CT, WESTERVILLE, OH 43081-4938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN436883
OH
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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