Individual
MS. CHRISTINA ANN SHADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
158 W MONROE CIR, JEFFERSON, OH 44047-1080
(440) 855-7598
Mailing address
158 W MONROE CIR, JEFFERSON, OH 44047-1080
(440) 855-7598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN141430
OH
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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