SearchOhio164W00000X

Crista Stull

NPI 1720221518 · on the registry since 2009 · sole proprietor

Practice

Address
371 Maple Dr
Crestline, OH 44827
Phone
(419) 564-5890
Fax
(419) 564-5890

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio