Individual
DIANE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5767 HUNTING HOLLOW CT, GALLOWAY, OH 43119-9243
(937) 402-7164
Mailing address
5767 HUNTING HOLLOW CT, GALLOWAY, OH 43119-9243
(937) 402-7164
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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