Individual
MS. TRISHA L ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11999 STEUBENVILLE PIKE, LISBON, OH 44432-9707
(330) 424-4737
Mailing address
11999 STEUBENVILLE PIKE, LISBON, OH 44432-9707
(330) 424-4737
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2104234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107085842699
—
OH
05
—
171027384601
—
OH
Enumeration date
04/18/2007
Last updated
07/09/2007
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