Charity L Kristiansen

NPI #1164010542 in Genoa, Ohio

Provider Information

NPI Number: 1164010542
Entity Type: Individual
Name: Charity L Kristiansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 1, 2021
Last Updated: Jan 1, 2021

Practice Location

Address: 303 MAIN ST
City: Genoa
State: Ohio
ZIP Code: 43430-1610
Phone: (567) 225-4788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Homemaker	376J00000X	Primary

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