Individual
TAMMY RENEE NORCKAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3431 HICKORY CT, BEAVERCREEK, OH 45434-6013
(937) 307-5437
Mailing address
3431 HICKORY CT, BEAVERCREEK, OH 45434-6013
(937) 307-5437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348742
—
OH
Enumeration date
02/22/2023
Last updated
02/22/2023
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