Individual
SHA'VON UMBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NORTHWEST AVE STE 120, TALLMADGE, OH 44278-1808
(330) 633-4294
Mailing address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(330) 575-8878
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/10/2019
Last updated
09/03/2024
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