Individual
TERRANCE LAMAR SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
745 RIVERSIDE DR, SPRINGFIELD, OH 45504-1265
(937) 244-7073
Mailing address
745 RIVERSIDE DR, SPRINGFIELD, OH 45504-1265
(937) 244-7073
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1204806
OH
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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