Individual
PRESTON BALUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
1524 DREXEL AVE NW, WARREN, OH 44485-2116
(330) 219-4688
Mailing address
1524 DREXEL AVE NW, WARREN, OH 44485-2116
(330) 219-4688
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401271150711
OH
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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