Individual
NICOLE KANYEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 FOREST OAK LN, COLUMBUS, OH 43229-3735
(614) 463-0945
Mailing address
1838 FOREST OAK LN, COLUMBUS, OH 43229-3735
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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