Most Relevant Information
Provider Data
| NPI Number: | 1003635343 |
| Provider Name: | VANDARA LOCH |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
7732 FARM HILL DR
BLACKLICK
OH
430049105
Practice Location Phone/Fax
| Phone: | 6142094455 |
| Fax: |
Provider Mailing Location
7732 FARM HILL DR
BLACKLICK
OH
430049105
Provider Mailing Phone/Fax
| Phone: | 6142094455 |
| Fax: |