Individual
SHELLY K AMBURGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 HAMPTON PL, MIDDLETOWN, OH 45042-3617
(937) 514-2051
Mailing address
3401 HAMPTON PL, MIDDLETOWN, OH 45042-3617
(937) 514-2051
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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