Most Relevant Information
Provider Data
| NPI Number: | 1003646357 |
| Provider Name: | TONCHRIS LARISSE COLVIN QBHS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2024 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
7603 FIRST PL # B12
BEDFORD
OH
441466703
Practice Location Phone/Fax
| Phone: | 4407034786 |
| Fax: |
Provider Mailing Location
7603 FIRST PL # B12
BEDFORD
OH
441466703
Provider Mailing Phone/Fax
| Phone: | 4407034786 |
| Fax: |