Most Relevant Information
Provider Data
| NPI Number: | 1003359365 |
| Provider Name: | HANNAH RENEE ELDRIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/18/2016 |
| Last Updated: | 11/18/2016 |
Provider Practice Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Practice Location Phone/Fax
| Phone: | 9897236791 |
| Fax: |
Provider Mailing Location
PO BOX 428
OWOSSO
MI
488670428
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |