Individual
TANISHA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4564 SYLVAN OAK DR, TROTWOOD, OH 45426-2122
(937) 701-9233
Mailing address
4564 SYLVAN OAK DR, TROTWOOD, OH 45426-2122
(937) 701-9233
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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