Individual
CHRISTY TIARA HALSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 MYRTLE ST, RAVENNA, OH 44266-3223
(330) 860-4210
Mailing address
640 HARVEST DR, RAVENNA, OH 44266-3655
(330) 860-4210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.181259.MEDS-IV
OH
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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