WUANIKA BROOMFIELD MATLOCK

COLUMBUS, OH
NPI1174939375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OH  401152351010)
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
-- WUANIKA BROOMFIELD MATLOCK
3212 FAIRWOOD AVE
COLUMBUS, OH 43207-3252
Phone number: 614-329-7998
Mailing Address
-- WUANIKA BROOMFIELD MATLOCK
3212 FAIRWOOD AVE
COLUMBUS, OH 43207-3252
Phone number: 614-329-7998
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