Individual
GOMA POUDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7326 BROOKE BLVD, REYNOLDSBURG, OH 43068-5275
(319) 536-5670
Mailing address
7326 BROOKE BLVD, REYNOLDSBURG, OH 43068-5275
(319) 536-5670
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
OH
Enumeration date
01/02/2022
Last updated
01/02/2022
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