Individual
MR. BENEDICT CHUKWUMA ODIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
880 QUITMAN DR E, GAHANNA, OH 43230-2076
(614) 572-6792
Mailing address
880 QUITMAN DR E, GAHANNA, OH 43230-2076
(614) 572-6792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
322621
OH
363LF0000X
Family Nurse Practitioner
Primary
COA 15637-NP
OH
Other
Enumeration date
03/29/2007
Last updated
02/20/2014
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