Individual
PRISCILLA OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CHERRY ST, SARDINIA, OH 45171-9259
(937) 822-1178
Mailing address
PO BOX 547, WEST UNION, OH 45693-0547
(937) 544-2986
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112298
—
OH
Enumeration date
01/29/2021
Last updated
01/29/2021
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