Individual
TRENA SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 TOWNSHIP ROAD 164, WEST LIBERTY, OH 43357-9202
(937) 595-0226
Mailing address
4525 TOWNSHIP ROAD 164, WEST LIBERTY, OH 43357-9202
(937) 595-0226
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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