Individual
ESTELLE VIRGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S PEARL ST, YOUNGSTOWN, OH 44506-1542
(234) 228-8068
Mailing address
206 S PEARL ST, YOUNGSTOWN, OH 44506-1542
(234) 228-8068
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9410722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9410722
STATE OF PA.
PA
Enumeration date
08/10/2015
Last updated
08/27/2016
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