Individual
ELOM U KOUKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
784 KENILWORTH LN UNIT 101, WESTERVILLE, OH 43082-7561
(614) 973-9431
Mailing address
784 KENILWORTH LN UNIT 101, WESTERVILLE, OH 43082-7561
(614) 973-9431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN509660
OH
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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