Individual
KATRINA A SUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 JONATHAN DR, COLUMBUS, OH 43207-2740
(614) 704-3824
Mailing address
1615 JONATHAN DR, COLUMBUS, OH 43207-2740
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2308792
—
OH
Enumeration date
12/28/2007
Last updated
12/28/2007
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