Individual
CRYSTAL ANN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 E 3RD ST, PORT CLINTON, OH 43452-1107
(419) 732-2682
Mailing address
517 E 3RD ST, PORT CLINTON, OH 43452-1107
(419) 732-0960
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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