Individual
SHELLY R PERSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 S DELAWARE ST APT 203, MOUNT GILEAD, OH 43338-3005
(419) 834-3246
Mailing address
377 S DELAWARE ST APT 203, MOUNT GILEAD, OH 43338-3005
(419) 834-3246
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400120000502
OH
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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