Individual
KRYSTAL BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4211 AVALON RD NW, CARROLLTON, OH 44615-9329
(330) 714-6485
Mailing address
4211 AVALON RD NW, CARROLLTON, OH 44615-9329
(330) 714-6485
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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