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Individual

MISS NASSERA A HUDROGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
MARYHAVEN, 1791 ALUM CREEK DRIVE, COLUMBUS, OH 43207
(614) 445-8131

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN.346046
OH

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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