Organization
MANIFEST-STAFF MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAMA CHRITIAN OUEDRAOGO RN (CEO/MANAGER)
(614) 654-0160
Entity
Organization
Contact information
Practice address
3325 COURTNEY SUE LN, CANAL WINCHESTER, OH 43110-8502
(614) 654-0160
Mailing address
3325 COURTNEY SUE LN, CANAL WINCHESTER, OH 43110-8502
(614) 654-0160
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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