Individual
MISS ELAINA NICOLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2001 BAIRSFORD DR, COLUMBUS, OH 43232-7002
(330) 707-5111
Mailing address
2001 BAIRSFORD DR, COLUMBUS, OH 43232-7002
(330) 707-5111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147639
OH
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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