Individual
DOMINIC NCHAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 HILTON CORPORATE DR, COLUMBUS, OH 43232
(614) 636-6290
Mailing address
4646 HILTON CORPORATE DR, COLUMBUS, OH 43232
(614) 636-6290
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
025186
OH
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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