Individual
MCKALA LAIRD KRSACOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9203 COIT RD, RAVENNA, OH 44266-9750
(216) 280-4598
Mailing address
9203 COIT RD, RAVENNA, OH 44266-9750
(216) 280-4598
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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