Organization
TRISTIN DOUGLASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTIN D DOUGLASS LPN (LPN)
(740) 618-3068
Entity
Organization
Contact information
Practice address
2128 HOGE AVE, ZANESVILLE, OH 43701-2130
(740) 618-3068
Mailing address
2128 HOGE AVE, ZANESVILLE, OH 43701-2130
(740) 618-3068
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN.145931-M-IV
OH
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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