Individual
MRS. CHERYL TUSKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12834 SAMUEL DR, MANTUA, OH 44255-9355
(330) 541-7214
Mailing address
12834 SAMUEL DR, MANTUA, OH 44255-9355
(330) 541-7214
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2915439
—
OH
Enumeration date
10/02/2015
Last updated
10/02/2015
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