Most Relevant Information
Provider Data
| NPI Number: | 1003466277 |
| Provider Name: | PORSCHA CHANELLE SNOW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
5900 SHARON WOODS BLVD
COLUMBUS
OH
432292600
Practice Location Phone/Fax
| Phone: | 6142354540 |
| Fax: |
Provider Mailing Location
5900 SHARON WOODS BLVD
COLUMBUS
OH
432292600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |