Provider Demographics
NPI:1083999056
Name:SANKOH, MARIATU
Entity Type:Individual
Prefix:
First Name:MARIATU
Middle Name:
Last Name:SANKOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 FOREST ELM CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-8802
Mailing Address - Country:US
Mailing Address - Phone:614-557-1695
Mailing Address - Fax:
Practice Address - Street 1:1935 FOREST ELM CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-8802
Practice Address - Country:US
Practice Address - Phone:614-557-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH132328164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse