Individual
MRS. SHANNON TEANNA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
336 GRACE AVE, AKRON, OH 44320-2151
(330) 620-8077
Mailing address
336 GRACE AVE, AKRON, OH 44320-2151
(330) 620-8077
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
2420946
OH
Other
Enumeration date
05/14/2007
Last updated
05/27/2008
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