Individual
MS. CHRISTINA ANN HUTALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
561 FAIRLAND DR, SUNBURY, OH 43074-8016
(740) 965-5633
Mailing address
2199 BRUCE RD, DELAWARE, OH 43015-9547
(740) 803-1252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN122775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2685563
IP NUMBER
OH
Enumeration date
05/15/2007
Last updated
07/08/2007
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