KENYATTA WILLOUGHBY

COLUMBUS, OH
NPI1235546433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OH  2771460)
Enumeration Date2014-07-20
Last Update Date2014-07-20
Business Address
KENYATTA WILLOUGHBY
2994 SANDRIDGE AVE
COLUMBUS, OH 43224-6827
Phone number: 614-607-8629
Mailing Address
KENYATTA WILLOUGHBY
2994 SANDRIDGE AVE
COLUMBUS, OH 43224-6827
Phone number: 614-607-8629