Individual
ABISHALOM KITATA YADETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 CENTURY CITY E APT 11, REYNOLDSBURG, OH 43068-2775
(614) 714-8549
Mailing address
1801 CENTURY CITY E APT 11, REYNOLDSBURG, OH 43068-2775
(120) 682-2152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
532862
OH
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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