Individual
HENRY BWANG EWANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
600 INDUSTRIAL MILE RD, COLUMBUS, OH 43228
(614) 278-9362
Mailing address
3268 POSSUM RUN COURT SOUTH, COLUMBUS, OH 43224
(614) 598-4878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
118085
OH
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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