Individual
TEQUILA DENISE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1984 BAR HARBOR RD, COLUMBUS, OH 43219-1366
(614) 928-4587
Mailing address
1984 BAR HARBOR RD, COLUMBUS, OH 43219-1366
(614) 928-4587
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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