Individual
LANA M SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ODA
Contact information
Practice address
12824 ROAD 21L, CLOVERDALE, OH 45827-9749
(419) 890-7763
Mailing address
12824 ROAD 21L, CLOVERDALE, OH 45827-9749
(419) 890-7763
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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