Individual
ALYSSA WEINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 RISHA ST, ANNA, OH 45302-8644
(419) 604-6636
Mailing address
404 RISHA ST, ANNA, OH 45302-8644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
186577
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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