Most Relevant Information
Provider Data
| NPI Number: | 1003209263 |
| Provider Name: | BRIANNA KINGSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2015 |
| Last Updated: | 03/12/2015 |
Provider Practice Location
3021 JEFFERSON RD
ASHTABULA
OH
440049615
Practice Location Phone/Fax
| Phone: | 4402284815 |
| Fax: |
Provider Mailing Location
3021 JEFFERSON RD
ASHTABULA
OH
440049615
Provider Mailing Phone/Fax
| Phone: | 4402284815 |
| Fax: |