Individual
SHELLEY A OSTDIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 SUGAR RUN TRL, BELLBROOK, OH 45305-1175
(937) 416-3671
Mailing address
1760 SUGAR RUN TRL, BELLBROOK, OH 45305-1175
(937) 416-3671
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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