Individual
MRS. CRYSTAL MARIE SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH NON-AIDE
Contact information
Practice address
3183 STATE ROUTE 229, MARENGO, OH 43334-9454
(740) 803-3488
Mailing address
3183 STATE ROUTE 229, MARENGO, OH 43334-9454
(740) 803-3488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
143199
OH
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
03/09/2017
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