Individual
LONDALE DESHAWN ROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6914 ONYXBLUFF LN, BLACKLICK, OH 43004-8099
(614) 861-8686
Mailing address
6914 ONYXBLUFF LN, BLACKLICK, OH 43004-8099
(614) 861-8686
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2307980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307980
—
OH
Enumeration date
01/24/2007
Last updated
07/08/2007
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