Individual
JOANNA SHADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
60 HIMANGO RD, ESKO, MN 55733-9523
(218) 390-2374
Mailing address
60 HIMANGO RD, ESKO, MN 55733-9523
(218) 390-2374
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2472058
MN
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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