Individual
DR. RACHEL C MANCINI-GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
368 S HAMILTON RD, GAHANNA, OH 43230-3350
(614) 478-5030
(614) 475-5497
Mailing address
368 S HAMILTON RD, GAHANNA, OH 43230-3350
(614) 478-5030
(614) 475-5497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5131-T2030
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211798
—
OH
Enumeration date
02/12/2007
Last updated
06/10/2009
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