Individual
ISHA ANITA MANSARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4175 CARNATION DR, WESTERVILLE, OH 43081-3805
(614) 806-0172
Mailing address
4175 CARNATION DR, WESTERVILLE, OH 43081-3805
(614) 806-0172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.141717-M-IV
OH
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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