JUSTIN COLE LYTTLE

CHARLESTON, WV
NPI1205490919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  APRN.CRNA.019906)
Enumeration Date2019-04-29
Last Update Date2023-08-18
Business Address
JUSTIN COLE LYTTLE DMPNA CRNA
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-388-5432
Mailing Address
JUSTIN COLE LYTTLE DMPNA CRNA
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-647-6006
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