Individual
MRS. CRISTY DIANNA BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
6644 LIST ST NW, CANTON, OH 44708-6419
(330) 417-3234
Mailing address
6644 LIST ST NW, CANTON, OH 44708-6419
(330) 417-3234
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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