Individual
SHANNON REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 MORIN POINT ST, ERIE, MI 48133-9685
(419) 215-8817
Mailing address
3050 MORIN POINT ST, ERIE, MI 48133
(419) 215-8817
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
101032630110
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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