Individual
CRYSTAL PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2914 RAVOGLI AVE, CINCINNATI, OH 45211-7817
(513) 252-8718
Mailing address
2914 RAVOGLI AVE, CINCINNATI, OH 45211-7817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.138061-M-IV
OH
164W00000X
Licensed Practical Nurse
PN138061
OH
Other
Enumeration date
02/16/2015
Last updated
03/05/2015
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