Individual
MRS. GRACE NYARKO KANBI ANDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5166 EML LEAF, LIBERTY, OH 45011-5908
(347) 866-0732
Mailing address
5166 ELM LEAF, LIBERTY TWP, OH 45011-5908
(347) 866-0732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.128914
OH
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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