Individual
ALICIA JEAN VANDERELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 W WALNUT ST, COLUMBUS, OH 43215-4185
(614) 270-1927
Mailing address
2093 IUKA AVE, COLUMBUS, OH 43201-1323
(614) 403-4689
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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