Individual
SHELLEY RAE CRESONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 BUCKINGHAM CT, MIDDLETOWN, OH 45044-7189
(513) 571-9527
Mailing address
2516 BUCKINGHAM CT, MIDDLETOWN, OH 45044-7189
(513) 571-9527
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602329520321
OH
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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