Individual
AYANA MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2999 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43231-4030
(614) 806-2821
Mailing address
3008 DIAMONDCUT DR, COLUMBUS, OH 43231-7635
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2565086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092894
—
OH
Enumeration date
03/05/2014
Last updated
03/05/2014
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