Individual
MYQUEESHA LATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
920 N HAMILTON RD STE 200, GAHANNA, OH 43230-1757
(614) 293-3069
(614) 293-9684
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3069
(614) 293-9684
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APRN.CNM.0019449
OH
Other
Enumeration date
10/12/2020
Last updated
04/04/2024
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