Most Relevant Information
Provider Data
NPI Number: | 1003352964 |
Provider Name: | SHANDA OBRINGER LPN |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | 146052.MEDS-IV |
Most Important Dates
Enumeration Date: | 01/16/2017 |
Last Updated: | 01/16/2017 |
Provider Practice Location
521 W ASH ST
PIQUA
OH
453562125
Practice Location Phone/Fax
Phone: | 9372713906 |
Fax: |
Provider Mailing Location
521 W ASH ST
PIQUA
OH
453562125
Provider Mailing Phone/Fax
Phone: | 9372713906 |
Fax: |