Individual
HAMIDOU FOFANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4226 SESTOS DR, COLUMBUS, OH 43207-8431
(614) 735-9273
(614) 295-8462
Mailing address
5405 MENDON CT, COLUMBUS, OH 43232-5467
(614) 577-1765
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN.482536
OH
164W00000X
Licensed Practical Nurse
Primary
159087
OH
171W00000X
Contractor
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/14/2012
Last updated
07/12/2024
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