Shelley Provencher Valid NPI
Individual provider · Homemaker · Northwood, OH
- NPI
- 1083374466
- Type
- Individual (Type 1)
- Primary specialty
- Homemaker
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376J00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-12-27
- Last updated
- 2021-12-27
Practice location
3616 Eastpointe Dr Apt 102
Northwood, OH 43619-2175
(419) 261-7011