Individual
MS. TRENDA RENEE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 ARATA WAY, ONTARIO, OR 97914-4505
(458) 224-1045
Mailing address
1445 ARATA WAY, ONTARIO, OR 97914-4505
(458) 224-1045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
519242
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500809241
—
OR
Enumeration date
09/07/2022
Last updated
09/07/2022
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