Individual
SHANNON BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3337 CRESTVIEW AVE, LEBANON, OH 45036-2434
(513) 849-6619
Mailing address
3337 CRESTVIEW AVE, LEBANON, OH 45036-2434
(513) 849-6619
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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