Individual
MR. CHESTER J SIAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2062 BRIDLINGTON LN APT F, COLUMBUS, OH 43229-3851
(617) 888-0153
Mailing address
2062 BRIDLINGTON LN APT F, COLUMBUS, OH 43229-3851
(617) 888-0153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.125031
OH
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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