Tracy L Moore Chestnut

NPI #1154589547 in Lisbon, Ohio

Provider Information

NPI Number: 1154589547
Entity Type: Individual
Name: Tracy L Moore Chestnut
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 41051 STATE ROUTE 517
City: Lisbon
State: Ohio
ZIP Code: 44432-9354
Phone: (330) 271-9553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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