Individual
JODI MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 NEIL AVE, COLUMBUS, OH 43210-1216
(614) 292-1345
Mailing address
1585 NEIL AVE, COLUMBUS, OH 43210-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN232502
OH
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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