Individual
SHELBY CLONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 4TH AVE APT 105, GALLIPOLIS, OH 45631-1500
(740) 339-0596
Mailing address
1626 WOODSIDE RD, PATRIOT, OH 45658-9270
(740) 379-9517
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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