Individual
EYOBONG ITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 SALISBURY ROAD, COLUMBUS, OH 43204
(614) 973-3230
Mailing address
PO BOX 29646, COLUMBUS, OH 43229
(614) 973-3230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
DD00139670
OH
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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