Organization
SHYNE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIDA PRATER NP (OWNER)
(937) 654-1468
Entity
Organization
Contact information
Practice address
5982 MOUNT ROYAL DR, CLAYTON, OH 45315-9770
(937) 654-1468
Mailing address
5982 MOUNT ROYAL DR, CLAYTON, OH 45315-9770
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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