Individual
KRYSTAL MARIE MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 PETTY DR, HAMILTON, OH 45013-3957
(513) 709-4071
Mailing address
63 PETTY DR, HAMILTON, OH 45013-3957
(513) 446-9221
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400975320909
OH
Other
Enumeration date
10/21/2011
Last updated
04/01/2012
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