Individual
MRS. CINDY EVALINE SHIVADECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5718 S UNION RD, MIAMISBURG, OH 45342-1334
(937) 902-2383
Mailing address
5718 S UNION RD, MIAMISBURG, OH 45342-1334
(937) 776-4823
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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