Individual
AHMAD THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 MAYBANK CT, GAHANNA, OH 43230-1735
(614) 886-2559
Mailing address
269 MAYBANK CT, GAHANNA, OH 43230-1735
(614) 886-2559
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
OH
172A00000X
Driver
—
OH
175T00000X
Peer Specialist
Primary
—
OH
372600000X
Adult Companion
—
OH
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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