Individual
FLORENCE JINGWA MBEKEM TANJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 DREAM CT, REYNOLDSBURG, OH 43068-1576
(614) 209-0250
Mailing address
1609 DREAM CT, REYNOLDSBURG, OH 43068-1576
(614) 209-0250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
NP-117004-MEDS
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024028452
OH
Other
Enumeration date
09/12/2013
Last updated
08/26/2024
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