Individual
CYNTHIA KAY CHRISULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1028 CENTER ST, GRAFTON, OH 44044
(440) 926-2318
(440) 926-2318
Mailing address
1028 CENTER ST, GRAFTON, OH 44044
(440) 926-2318
(440) 926-2318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN077069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064082
—
OH
Enumeration date
03/22/2007
Last updated
07/08/2007
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