Individual
NIA GAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 W BROAD ST, COLUMBUS, OH 43222-1319
(740) 644-9872
Mailing address
PO BOX 132, ATHENS, OH 45701-0132
(740) 644-9872
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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