Cristy Dianna Bostic, Caregiver
Technician, Attendant Care Provider in Canton, OH. Individual provider (NPI-1).
NPI number1164069001
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1164069001
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cristy Dianna Bostic
- Credential
- Caregiver
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
6644 List St NwCanton, OH 44708-6419
Phone 330-417-3234
Mailing address
6644 List St NwCanton, OH 44708-6419
Phone 330-417-3234
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All 9 Attendant Care Provider providers in Canton · All 7,232 providers in Canton
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