Individual
TRACY L GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4605 ELM AVE, ASHTABULA, OH 44004-6829
(440) 813-5234
Mailing address
4605 ELM AVE, ASHTABULA, OH 44004-6829
(440) 813-5234
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
322333220613
OH
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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