Individual
MRS. GERTRUDE IFEOMA ODIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
880 QUITMAN DR E, GAHANNA, OH 43230-2076
(614) 532-0748
Mailing address
880 QUITMAN DR E, GAHANNA, OH 43230-2076
(614) 532-0748
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN143241
OH
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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