CRYSTAL LEE WISE

ASHLAND, OH
NPI1568684561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  2526707)
Enumeration Date2007-05-02
Last Update Date2007-07-09
Business Address
-- CRYSTAL LEE WISE
1559 ST RT 60
ASHLAND, OH 44805
Phone number: 419-281-4256
Mailing Address
-- CRYSTAL LEE WISE
1559 ST RT 60
ASHLAND, OH 44805
Phone number: 419-281-4256