Individual
SHANEKA NICOLE FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 KATHERINE ST, STRUTHERS, OH 44471-2101
(234) 806-7890
Mailing address
683 BELLAIR CT, NILES, OH 44446-1084
(330) 553-9906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213833
—
OH
Enumeration date
08/14/2017
Last updated
09/01/2022
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