Individual
ASIA ISREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(740) 695-9344
Mailing address
1428 FAIR AVE, COLUMBUS, OH 43205-1544
(614) 253-7470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-131937-M-IV
OH
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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