Individual
MR. PETER K WAINAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6897 IDLELEA DRIVE, REYNOLDSBURG, OH 43068
(614) 824-7173
Mailing address
6897 IDLELEA DR, REYNOLDSBURG, OH 43068-8248
(614) 824-7173
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
321475490908
OH
Other
Enumeration date
06/28/2011
Last updated
10/16/2012
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