Individual
ALICE M KOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3259 LAUREN FIELDS DR S, GROVEPORT, OH 43125-9143
(614) 783-8781
Mailing address
3259 LAUREN FIELDS DR S, GROVEPORT, OH 43125-9143
(614) 783-8781
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143353
OH
Other
Enumeration date
04/26/2011
Last updated
05/19/2015
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