Individual
TAMARA LYNN HERSHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2291 STAHL RD, COVENTRY TOWNSHIP, OH 44319-1321
(330) 785-9144
Mailing address
2291 STAHL RD, COVENTRY TOWNSHIP, OH 44319-1321
(330) 785-9144
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
7710856
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053417
—
OH
Enumeration date
11/05/2020
Last updated
11/05/2020
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