MISTIQUE CHANTAY HENRY

COLUMBUS, OH
NPI1902456650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.025613)
Enumeration Date2019-09-16
Last Update Date2022-01-25
Business Address
MISTIQUE CHANTAY HENRY APRN
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214-5403
Phone number: 614-566-4414
Mailing Address
MISTIQUE CHANTAY HENRY APRN
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214-5403
Phone number: 614-566-4414
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