Individual
KRISTINE MAY LYCANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12429 MORSE RD SW, PATASKALA, OH 43062-8694
(740) 927-7643
Mailing address
12429 MORSE RD SW, PATASKALA, OH 43062-8694
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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