Individual
TABITHA CRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1631 CUTLIP RD, JACKSON, OH 45640-8976
(740) 648-6986
Mailing address
1631 CUTLIP RD, JACKSON, OH 45640-8976
(740) 648-6986
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
10090635
OH
376K00000X
Nurse's Aide
Primary
501038891105
OH
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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