Individual
NICOLE SHINEVARRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N VINE, RISINGSUN, OH 43457
(419) 283-4171
Mailing address
PO BOX 58, RISINGSUN, OH 43457-0058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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