Individual
CHRISTINA LYN WILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 ANNFIELD DR, MANSFIELD, OH 44905-1302
(419) 775-5329
Mailing address
608 ANNFIELD DR, MANSFIELD, OH 44905-1302
(419) 775-5329
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400852310109
OH
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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