MS. Tresa Back

NPI #1134947047 in Wilmington, Ohio

Provider Information

NPI Number: 1134947047
Entity Type: Individual
Name: MS. Tresa Back
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 30, 2024
Last Updated: Sep 30, 2024

Practice Location

Address: 1122 SOUTHRIDGE AVE
City: Wilmington
State: Ohio
ZIP Code: 45177-2934
Phone: (937) 287-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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