Individual
ANGELA L SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2233 W PARNALL RD, JACKSON, MI 49201-9000
(517) 612-2290
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704262265
MI
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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