Individual
CRYSTAL MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11192 ST. RT.73 SOUTH, NEW VIENNA, OH 45159-0563
(937) 987-0729
Mailing address
PO BOX 563, NEW VIENNA, OH 45159-0563
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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