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Individual

CHRISTA MICHELE VIETS

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
9738 WAYNE BRIDGE RD, LISBON, OH 44432-9740
(330) 424-3479
Mailing address
9738 WAYNE BRIDGE RD, LISBON, OH 44432-9740
(330) 424-3479

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2107053
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2107053
OH
Enumeration date
05/18/2006
Last updated
07/09/2007
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