Individual
MISTY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34452 STATE ROUTE 683, MC ARTHUR, OH 45651-8670
(740) 591-0196
Mailing address
34452 STATE ROUTE 683, MC ARTHUR, OH 45651-8670
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465916
—
OH
Enumeration date
11/29/2021
Last updated
11/29/2021
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