Individual
DESHAUN CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 MAPLEWOOD AVE, WHITEHALL, OH 43213-1732
(614) 674-7168
Mailing address
2841 JONATHAN PARK WAY, REYNOLDSBURG, OH 43068-5245
(614) 674-7168
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0056203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056203
—
OH
Enumeration date
07/07/2014
Last updated
07/07/2014
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