Individual
LINDA R SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 STONE RIDGE PL, TIPP CITY, OH 45371-7300
(937) 216-7102
Mailing address
721 STONE RIDGE PL, TIPP CITY, OH 45371-7300
(937) 216-7102
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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