Individual
CELYNA M SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 CLEARVIEW RD, ALIQUIPPA, PA 15001-5766
(518) 681-7909
Mailing address
164 CLEARVIEW RD, ALIQUIPPA, PA 15001-5766
(518) 681-7909
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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