Individual
TONYA TYREE KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
50 NAVHOO ST, CRESTON, OH 44217
(330) 321-6733
Mailing address
50 NAVHAO ST, CRESTON, OH 44271
(330) 321-6733
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401304201011
OH
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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