Bai Koroma, LPN
Licensed Practical Nurse in Blacklick, OH. Individual provider (NPI-1).
NPI number1396972253
StatusActive
Last updated in NPPESJun 18, 2009
Details
- NPI
- 1396972253
- Entity type
- Individual (NPI-1)
- Name
- Bai Koroma
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2009
- Last updated
- Jun 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN- 131850 IV | OH | Yes |
| 164W00000X | Licensed Practical Nurse | PN-131850 IV | OH |
Practice location
221 Malloy LnBlacklick, OH 43004-9354
Phone 614-516-7686
Mailing address
221 Malloy LnBlacklick, OH 43004-9354
Phone 614-516-7686
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All 40 Licensed Practical Nurse providers in Blacklick · All 621 providers in Blacklick
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