Individual
MS. CHERYL COUNTS SANTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1147 CLARE ST, PATASKALA, OH 43062
(614) 577-0903
Mailing address
9741 LAFAYETTE RD, JOHNSTOWN, OH 43031-9432
(740) 892-2270
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN070201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582638
—
OH
Enumeration date
06/10/2006
Last updated
07/08/2007
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