Individual
MR. ERICO LEME MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1259 N GRANT AVE, COLUMBUS, OH 43201-2835
(614) 603-3161
Mailing address
1259 N GRANT AVE, COLUMBUS, OH 43201-2835
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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