Individual
KRYSTAL BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 SKYVIEW DR, VANDALIA, OH 45377-2239
(937) 470-0517
Mailing address
340 SKYVIEW DR, VANDALIA, OH 45377-2239
(937) 470-0517
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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