Individual
HALLE SHANNEN GRAY-PLUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7514 FRIENDSVILLE RD, LODI, OH 44254-9731
(330) 416-5141
Mailing address
152 LAKE FRONT DR, AKRON, OH 44319-3618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141073
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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