KOOLJOE FREDDY NTIM

PICKERINGTON, OH
NPI1750933982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OH  024423)
Enumeration Date2019-07-09
Last Update Date2019-07-09
Business Address
KOOLJOE FREDDY NTIM
7650 HOWELL PARK DR
PICKERINGTON, OH 43147-9513
Phone number: 614-316-6408
Mailing Address
KOOLJOE FREDDY NTIM
7650 HOWELL PARK DR
PICKERINGTON, OH 43147-9513
Phone number: 614-316-6408