Independent Provider
NPI #1023423571 in Columbus, Ohio
Provider Information
- NPI Number
- 1023423571
- Entity Type
- Organization
- Organization Name
- Independent Provider
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Jun 24, 2014
Practice Location
Authorized Official
- Name
- MS. TASSHIA RENEE LEE
- Title
- INDEPENDENT PROVIDER
- Phone
- (614) 571-5191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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