Individual
CHRISTLE ROSE PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ODE IS K-12
Contact information
Practice address
3450 W CENTRAL AVE STE 126, TOLEDO, OH 43606-1421
(419) 531-2408
Mailing address
10521 WAYNE RD, WAYNE, OH 43466-9762
(419) 806-1558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH3114193
OH
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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