Individual
MRS. SHANN TEEN CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10928 LINCOLN ST SE, EAST CANTON, OH 44730-9348
(330) 205-2140
Mailing address
10928 LINCOLN ST SE, EAST CANTON, OH 44730-9348
(330) 205-2140
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
363678
OH
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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