Individual
RENIESA TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 CHANTE CT, COLUMBUS, OH 43219-3286
(310) 709-7454
Mailing address
3027 CHANTE CT, COLUMBUS, OH 43219-3286
(310) 709-7454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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