Individual
HOLLY SHUMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
641 NORMANDY DR, MARION, OH 43302-6643
(740) 361-5249
Mailing address
641 NORMANDY DR, MARION, OH 43302-6643
(740) 361-5249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
150409
OH
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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