NPI | 1376972976 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL E REYNOLDS Owner/President 614-864-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA15080NP) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2024-02-06 |