Shelley Provencher
NPI 1083374466 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3616 Eastpointe Dr Apt 102
Northwood, OH 43619 - Phone
- (419) 261-7011
Registry record
- Primary taxonomy
- Homemaker
376J00000X
- Sex
- Female
- Record last updated
- 2021-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio