Individual
ELISSA VAITKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5821 W CENTRAL AVE, TOLEDO, OH 43615-1403
(419) 536-9259
Mailing address
5821 W CENTRAL AVE, TOLEDO, OH 43615-1403
(419) 536-9259
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09301053
OH
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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