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Wuanika Broomfield Matlock
Specialist in Columbus, Ohio
NPI 1174939375

Wuanika Broomfield Matlock is a Specialist based in Columbus, OH. Wuanika Broomfield Matlock practices in Columbus, OH. The NPI Number for Wuanika Broomfield Matlock is 1174939375 and holds a License No. 401152351010 (Ohio).

The current practice location address for Wuanika Broomfield Matlock is 3212 Fairwood Ave, Columbus, OH and can be reached out via phone at 614-329-7998.

Location: 3212 Fairwood Ave, Columbus, OH, 43207-3252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174939375
Provider Name
Wuanika Broomfield Matlock
Credential
Provider Entity Type
Individual
Gender
Female
Address
3212 Fairwood Ave, Columbus, OH, 43207-3252
Phone Number
614-329-7998
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3212 Fairwood Ave
City
Columbus
State
Ohio
Zip
43207-3252
Phone Number
614-329-7998
Fax Number
person
Provider Business Mailing Address Details
Address
3212 Fairwood Ave
City
Columbus
State
Ohio
Zip
43207-3252
Phone Number
614-329-7998
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
401152351010 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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