Individual
MISS AUDREY VIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
6815 LOCKWOOD BLVD APT 150, BOARDMAN, OH 44512-3915
(847) 804-4353
Mailing address
6815 LOCKWOOD BLVD APT 150, BOARDMAN, OH 44512-3915
(847) 804-4353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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