Individual
SHELLIE S. LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 CAMBA RD, JACKSON, OH 45640-9394
(740) 418-9225
Mailing address
2750 CAMBA RD, JACKSON, OH 45640-9394
(740) 418-9225
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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