Individual
CHASITY JO MOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 468-4841
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.18628-NP
OH
Other
Enumeration date
02/24/2016
Last updated
01/06/2021
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