Most Relevant Information
Provider Data
| NPI Number: | 1003546458 |
| Provider Name: | DEMOND HAIRSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 06/16/2022 |
Provider Practice Location
1233 MOUNT VERNON AVE
COLUMBUS
OH
432031523
Practice Location Phone/Fax
| Phone: | 6149726493 |
| Fax: |
Provider Mailing Location
1233 MOUNT VERNON AVE
COLUMBUS
OH
432031523
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |