Individual
SHANA LEIGH VANANTWERP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8020 HORSESHOE RD, ASHLEY, OH 43003-9717
(740) 815-7967
Mailing address
8020 HORSESHOE RD, ASHLEY, OH 43003-9717
(740) 815-7967
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401369830312
OH
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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