Tereva Jeanne Hilllacy
Technician, Attendant Care Provider in Spencerville, OH. Individual provider (NPI-1).
NPI number1710697065
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1710697065
- Entity type
- Individual (NPI-1)
- Name
- Tereva Jeanne Hilllacy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2022
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
217 N Pearl StSpencerville, OH 45887-1246
Phone 419-203-3038
Mailing address
217 N Pearl StSpencerville, OH 45887-1246
Phone 419-203-3038
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