MEDICARE: SONNIE CONTEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	158252	OH

General Provider Information

NPI Number	:	1942681945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONNIE CONTEH

Provider Business Mailing Address
First Line	:	5803 LOU ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2908
Country	:	US
Telephone Number	:	703-622-9705
Fax Number	:

Provider Business Practice Location Address
First Line	:	5803 LOU ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2908
Country	:	US
Telephone Number	:	703-622-9705
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	SONNIE CONTEH
Credential	:	NURSE
Telephone Number	:	703-622-9705

Provider Enumeration Date	:	06/15/2015
Last Update Date	:	06/15/2015

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Directions to “SONNIE CONTEH ” Practice Location

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