Individual
TYRONE HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14910 HAVENS CORNERS RD SW, PATASKALA, OH 43062-8902
(614) 704-2246
Mailing address
14910 HAVENS CORNERS RD SW, PATASKALA, OH 43062-8902
(614) 704-2246
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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