Individual
MISTY LEFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
701 W 39TH ST, ASHTABULA, OH 44004-5640
(440) 344-3820
Mailing address
701 W 39TH ST, ASHTABULA, OH 44004-5640
(440) 344-3820
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401607170114
OH
Other
Enumeration date
05/31/2024
Last updated
06/01/2024
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