Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 34.014076 | OH |
NPI | 1235534314 |
---|---|
Provider Name | Yuko Iwanaga |
First Address | Columbus, OH 43214-3463 |
Second Address | Columbus, OH 43214-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2014 |
Last Update Date | 10/10/2019 |