Individual
MS. ADENIKE ELIZABETH ILESANMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7884 DOLMEN DR, BLACKLICK, OH 43004-8539
(614) 218-4049
Mailing address
7884 DOLMEN DRIVE, BLACKLICK, OH 43004
(614) 218-4049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN136775
OH
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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