Individual
JUWAN SALLIEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2162 DARTMOUTH AVE, COLUMBUS, OH 43219-2647
(614) 698-9611
Mailing address
2162 DARTMOUTH AVE, COLUMBUS, OH 43219-2647
(614) 698-9611
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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