Individual
PRISCILLA SHAFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRM
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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