Individual
CHASITY NICHOLE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9154 US ROUTE 60, ONA, WV 25545-7416
(304) 733-9430
Mailing address
5976 COUNTY ROAD 2, CHESAPEAKE, OH 45619-7991
(740) 533-7087
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
184876
OH
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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