Most Relevant Information
Provider Data
| NPI Number: | 1003447079 |
| Provider Name: | TAMMIE LYNETTE SHELBY |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 401558070813 |
Most Important Dates
| Enumeration Date: | 01/29/2020 |
| Last Updated: | 01/29/2020 |
Provider Practice Location
2686 WICK ST SE
WARREN
OH
444845447
Practice Location Phone/Fax
| Phone: | 6146200197 |
| Fax: |
Provider Mailing Location
2696 WICK ST SE
WARREN
OH
444845447
Provider Mailing Phone/Fax
| Phone: | 6146200197 |
| Fax: |