Individual
LADONNA MARIE SHACKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
235 HIGH ST NW, NAVARRE, OH 44662-1131
(330) 791-7014
Mailing address
235 HIGH ST NW, NAVARRE, OH 44662-1131
(330) 791-7014
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
05/11/2007
Last updated
03/23/2008
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