Individual
ALPHA IBRAHIM BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4420 BIG WALNUTVIEW DR, COLUMBUS, OH 43230-4143
(614) 506-4701
Mailing address
4420 BIG WALNUTVIEW DR, COLUMBUS, OH 43230-4143
(614) 506-4701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN118660
OH
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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