Provider Demographics
NPI:1760069025
Name:CLINKSCALE, CHYNA
Entity Type:Individual
Prefix:
First Name:CHYNA
Middle Name:
Last Name:CLINKSCALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 LAFAYETTE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-3176
Mailing Address - Country:US
Mailing Address - Phone:330-219-0945
Mailing Address - Fax:
Practice Address - Street 1:116 LAFAYETTE AVE APT B
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-3176
Practice Address - Country:US
Practice Address - Phone:330-219-0945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide