ALEXANDER CRAIG PROVAZNIK

PORTSMOUTH, OH
NPI1578383725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OH  RN.508736)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
ALEXANDER CRAIG PROVAZNIK
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number: 740-357-8615
Mailing Address
ALEXANDER CRAIG PROVAZNIK
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number:
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