Individual
SANDRA LYNN COLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15081 CARLISLE RD, CRITTENDEN, KY 41030-8205
(513) 431-8325
Mailing address
15081 CARLISLE RD, CRITTENDEN, KY 41030-8205
(513) 431-8325
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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