NPI | 1043946163 |
---|---|
Entity Type | Organization |
Authorized Contact | ENESTINE AZENKENG TASONG Nurse Practitioner 614-446-6016 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |