Individual
ALEXUS JADEN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
(614) 488-7118
Mailing address
6580 KINGS CHARTER RD, REYNOLDSBURG, OH 43068-1941
(614) 900-1874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.164264.MEDS-IV
OH
Other
Enumeration date
04/30/2021
Last updated
05/07/2021
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