Individual
CRAIG A REVEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 E 4TH ST, WEST LAFAYETTE, OH 43845-1408
(740) 610-8967
Mailing address
612 E 4TH ST, WEST LAFAYETTE, OH 43845-1408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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