Individual
EDIYE JOY ENOOBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4672 HARBINGER CIR W, WHITEHALL, OH 43213-6115
(614) 377-9044
(614) 453-5712
Mailing address
4672 HARBINGER CIR W, WHITEHALL, OH 43213-6115
(614) 377-9044
(614) 453-5712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156004
OH
Other
Enumeration date
02/15/2011
Last updated
05/01/2014
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