Individual
MR. ANDRE DEMON IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 COVINGTON RD APTA, COLUMBUS, OH 43229
(513) 258-5909
Mailing address
1060 COVINGTON RD APT A, COLUMBUS, OH 43229-3225
(614) 781-0338
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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