Individual
PRODENSIA ACHANKENG ENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
5733 MILLBANK RD APT F, COLUMBUS, OH 43229-4143
(614) 323-1654
Mailing address
5733 MILLBANK RD APT F, COLUMBUS, OH 43229-4143
(614) 323-1654
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401023391209
OH
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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