Individual
SHELLY E. LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
3180 SLEEPY HOLLOW RD, BRUNSWICK, OH 44212-4256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002012
OH
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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