Most Relevant Information
Provider Data
| NPI Number: | 1003533829 |
| Provider Name: | JUSTIN HARMON |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/24/2022 |
| Last Updated: | 10/24/2022 |
Provider Practice Location
1801 WATERMARK DR
COLUMBUS
OH
432157088
Practice Location Phone/Fax
| Phone: | 6144878758 |
| Fax: |
Provider Mailing Location
1801 WATERMARK DR
COLUMBUS
OH
432157088
Provider Mailing Phone/Fax
| Phone: | 6144878758 |
| Fax: |