Individual
MARIEGEO NYAMITAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 E LIVINGSTON AVE, COLUMBUS, OH 43215-5533
(614) 227-9450
Mailing address
431 E LIVINGSTON AVE, COLUMBUS, OH 43215-5533
(614) 227-9450
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
06/29/2021
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