Individual
DWIGHT ANTHONY BRISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6929 ELLEN BOAT LN, CANAL WINCHESTER, OH 43110-7913
(614) 778-6098
Mailing address
6929 ELLEN BOAT LN, CANAL WINCHESTER, OH 43110-7913
(614) 778-6098
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2756544
OH
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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