Most Relevant Information
Provider Data
| NPI Number: | 1003537184 |
| Provider Name: | TRENDA RENEE CORNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 519242 |
Most Important Dates
| Enumeration Date: | 09/07/2022 |
| Last Updated: | 09/07/2022 |
Provider Practice Location
1445 ARATA WAY
ONTARIO
OR
979144505
Practice Location Phone/Fax
| Phone: | 4582241045 |
| Fax: |
Provider Mailing Location
1445 ARATA WAY
ONTARIO
OR
979144505
Provider Mailing Phone/Fax
| Phone: | 4582241045 |
| Fax: |