Individual
MRS. JUDITH LEME MBOUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3368 OMEGA DR, COLUMBUS, OH 43231-8835
(614) 439-9826
Mailing address
3368 OMEGA DR, COLUMBUS, OH 43231-8835
(614) 439-9826
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
322050710701
OH
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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