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Desmond Page

Community Health Worker in Columbus, OH. Individual provider (NPI-1).

NPI number1417618083
StatusActive
Last updated in NPPESMar 21, 2022

Details

NPI
1417618083
Entity type
Individual (NPI-1)
Name
Desmond Page
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 6, 2022
Certification date
Mar 21, 2022
Last updated
Mar 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1801 Watermark Dr
Columbus, OH 43215-7088

Phone 614-438-3400

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

Phone 614-438-3400

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