Individual
CYNTHIA MICHELLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 FREEDOM DR, NAPOLEON, OH 43545-9038
(419) 599-1660
(419) 592-8336
Mailing address
1732 CROSS CREEK LN, DEFIANCE, OH 43512-3650
(419) 784-2928
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.138864
OH
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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