Individual
DOUGLAS BRIAN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
294 WINNOW CT, SUNBURY, OH 43074-8546
(740) 513-9673
Mailing address
294 WINNOW CT, SUNBURY, OH 43074-8546
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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